Business Analyst - Healthcare

Business Analyst and Senior Business Analyst - US Healthcare

Location : Bangalore, Pune, Chennai, Hyderabad, Noida, Kolkata

Experience : 4 - 10 years

MUST HAVES :

Top 3 Mandatory Skills :

- Business Analysis, Payer, Claims (US Healthcare experience mandatory), SQL, Agile., EMR

- Relevant Experience must be 50% and above of total experience in all the above skill sets.

Job Description :

Location : Chennai Hyderabad

Primary skills : Payers, Claims, US Healthcare

Skills required :

- Deep experience in the US Healthcare space comprising Payers Medicare Commercial plans Pharmacy Benefit management organization s etc

- Core experience in Claims processing adjudication enrolment membership and billing

- Perform activities which is part of bigger solution using ICD9 ICD10 CPT HCPCS classification system

- Translate business requirements develop business cases use cases and recommend solutions

- Be client-focused Drive best practices through business processes knowledge

- Extensive experience working with software development teams working with business and customer stakeholders in understanding and documenting requirements and providing day to day support to dev teams

- Perform research to identify business problems and ability to breakdown complex business issues to come up with solutions through extensive data analysis

- Experience working in Agile projects is preferred

Candidate Profile :

- Demonstrated work experience in healthcare life sciences data analytics programs for minimum of 5 years

- Experience on Medical coding related to ICD9 IC D10 CPT HCPCS classification system

- Possess significant experience in clinical and or healthcare claims data healthcare reforms programs and claims medical Rx data coming from Payers CMS Health plans PBMs

- Prior experience in population health quality measures evidence based alerts various incentive programs including ACO Meaningful Use PQRS PCMH CPCI and PPIC Prior

- Strong analytical skills with the ability to collect organize analyze data using Microsoft Excel SQL and BASIC SAS and can use or pick up any analytical tool.