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Business Analyst (Claims)

Eingestellt von Enclipse Corp.

Gesuchte Skills: Support, Client

Projektbeschreibung

Advises and recommends areas of program planning, business requirements management, budget execution and program coordination. Prepares needs assessment. Validates resource requirements and develops cost estimate models. Conducts and coordinates financial, product, market, operational, and related research to support strategic and business planning within the various departments and programs of the client group. Interprets, evaluates, and interrelates research data, and develops integrated business analyses and projections for incorporation into strategic decision-making. Plans and coordinates the development of primary and secondary market research studies in support of strategic planning and specific marketing initiatives, as required, and presents findings of studies to client committees. Provides consultative, advisory, technical, and staff support, as appropriate. Ability to use survey and market research methodologies, systems, and techniques. Experience Level: BA or BS required plus minimum 3+ years of direct relevant experience.

Top 3-5 required skills:
Analyze and validate Requirement Solution Gaps for Cost Containment, Rework, and Audit. 
Refine Business Requirements to be clear and testable 
Determine ownership of the requirement (which team), and facilitate handoffs 
Work with Technology Team and Process Team to develop any work around needed for Stage One and subsequent Solution 
Support creation of the requirement document development for Stage 2

Minimum years of experience required:
3-5 years overall experience

Top 3-5 daily responsibilities:
perform scribe duties during team meetings
support project manager with follow up and action items from meetings

Desired skills:
Organization
Attention to details

Type of background you are looking for:
Claims processing knowledge,
Coordination of benefits between 2 health plans,
Systems implementation experience,
Health Care Industry background, required
Health Care Claims processing, preferred

Projektdetails

  • Einsatzort:

    Rancho Cucamonga, Vereinigte Staaten

  • Projektbeginn:

    asap

  • Projektdauer:

    Keine Angabe

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

Enclipse Corp.