Healthcare Payor, Claims, EDI files, 835/837, 20/271, claims setup, claims Configuration, Medicare/Medicaid, Jira/Rally
Contract W2, Contract Corp-To-Corp, 6 Months
Depends on Experience
Work from home available
Job Description
- Support engagement delivery from healthcare functional knowledge standpoint like Payer Commercial /Medicare/Medicaid market, Provider & Network management, Billing, Enrollment, Claims etc.
- Functional Knowledge and configuration experience of Healthcare Claims operations
- Working experience of Claims solution design and implementations for Healthcare Payor
- Working experience on EDI files (835/837,20/271)
- Experience in testing claims setup & configuration
- Lead business requirement discussions and create business & functional requirements document in partnership with other team members
- Create business features & Epics and create stories in partnership with IT partners
- Working experience on one of the scrum tools like Jira/Rally
- Synthesize data/Generate outcomes to support deliverables
- Conduct system review sessions with all stakeholders including business & IT
- Conduct stakeholder interviews & conduct workshops to gather functional inputs on engagements
- Perform internal & external research related to Healthcare payer industry & their operating models
- Be a liaison between business stakeholders and IT team to translate business needs into IT features
- Review current business processes and develop future state business process flows & operating models