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LEAD REQUIREMENTS ANALYST – Healthcare Claims Processing ALTA IT Services has a 12 month+ contract opening for a Lead Business / Requirements Analyst with solid healthcare claims processing experience. The lead analyst will be responsible for defining business intent, business requirements, functional requirements, non-functional requirements, data mapping, system/process impacts, and participate in issue assessment for corporate Claims and Audit processes and systems, starting in the company’s Claims Electronic Data Interchange (EDI) functional area. The lead analyst will also provide feedback and guidance to more junior members of the team. Work remains remote with the expectation of a future hybrid model in Reston, VA. Position Requirements:- 8-11 years of experience
- Strong demonstrated analytical skills applied to business software solutions maintenance and/or development.
- Knowledge of health care claims adjudication processes, logic, and data
- Extensive hands-on X12 health care insurance transaction (834, 837, 270, 271, etc.) data mapping and issue resolution experience
- Knowledge of the software development standards and practices.
- Demonstrated ability to find efficiencies and improve processes.
- Proven ability to determine systemic process faults and improve overall process performance across organizations.
- Understanding of claims adjudication, particularly in a health care environment
- Understanding of health industry diagnosis, procedure and revenue codes and their application
- Strong business analytical skills.
- Strong process analysis skills
- Strong process documentation skills
- Excellent communication/writing skills,
- Excellent interpersonal skills
- Attentive to detail, highly organized, and able to multi-task
- Ability to work independently and meet deadlines.
Preferred:- Experience with claims adjudication in the Federal Employee Health Benefit Plans
- Bachelors (Health administration; business administration; software engineering or related degree required)
HOURLY RATE: $75/hr. range. Benefits available. For consideration, please contact Melissa McNally via mmcnally@altaits.com ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services. We are an equal opportunity/affirmative action employer that considers qualified applicants for employment without regard to race, gender, age, color, religion, disability, veteran status, sexual orientation, or any other factor.
- ID: #49329713
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State: Virginia
Reston
20191
Reston
USA
- City: Reston
- Salary: Up to $75
- Job type: Contract
- Showed: 2023-02-21
- Deadline: 2023-04-18
- Category: Et cetera