Healthcare Business Analyst
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Job Summary
Supporting a remote healthcare initiative, the contract Healthcare Business Analyst will analyze business and system requirements related to claims processing, provider enrollment, and Medicaid operations while conducting assessments and translating business needs into detailed requirements.
Key responsibilities
- Analyze healthcare business and system requirements, focusing on claims processing and Medicaid program operations
- Document and validate business needs into High-Level Requirements (HLRs) and Detailed Business Requirements (DBRs) using IBM ELM and ServiceNow
- Facilitate Joint Application Requirements (JAR) sessions and conduct policy and regulatory impact analysis
Required qualifications
- Bachelor's degree in Information Systems, Computer Science, Healthcare Administration, Business Administration, or a related field preferred
- Experience as a Healthcare Business Analyst or Systems Analyst supporting Medicaid or government healthcare programs
- Hands-on experience with CA-MMIS and HIPAA EDI X12 transactions
- Proficiency in requirements documentation and business process modeling
- Knowledge of CPT, ICD, and HCPCS code maintenance
Complete Job Description
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