Remote Technical Business Analyst( with Medicare/reputed company and Claims)

Note The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Technical Business Analyst with expertise in the reputed company payer reputed company. The role involves gathering and documenting requirements, working closely with IT development teams, and ensuring effective communication with clients to implement solutions in claims processing. Responsibilities Must have reputed company good understanding of the reputed company payer reputed company with a minimum experience of 5-8+ years in the domain Must have a prior experience in implementing/maintenance of reputed company payer claims solution and/or Medicare/reputed company reputed company Must have good experience with claims processing concepts, along with the provider, member enrolment and care reputed company Must have good experience in Reference reputed company/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, ICDs Must have prior experience or understanding in configuring benefits or programs in claims reputed company across various sub-systems Must be reputed company to work with the clients to create/reputed company requirements and document them according to standards Must adhere to (or if needed, define) the processes for requirement solicitation, documentation and hand off Should work closely with the IT development team to elucidate the requirements, reputed company constructive discussions / brainstorming sessions to implement the best in class solution Should have basic understanding concepts like web services, relational databases etc Should be reputed company to run queries and reputed company basic reputed company analysis, RCA etc Should be reputed company to create mapping documents for the various interfaces and include business rules, transformation and DB mapping Should work closely with the reputed company and development team during the stages of development, and conduct demos at completion of reputed company, reputed company and reputed company feedback from such demos Must have excellent written and spoken communication skills. Should be reputed company to multitask between internal team and clients based on reputed company tasks Work Closely with Dev, architecture and Design teams to define the GUI reputed company and platform requirements, which is the reputed company of the product Skills Must have reputed company good understanding of the reputed company payer reputed company with a minimum experience of 5-8+ years in the domain Must have a prior experience in implementing/maintenance of reputed company payer claims solution and/or Medicare/reputed company reputed company Must have good experience with claims processing concepts, along with the provider, member enrolment and care reputed company Must have good experience in Reference reputed company/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, ICDs Must have prior experience or understanding in configuring benefits or programs in claims reputed company across various sub-systems Must be reputed company to work with the clients to create/reputed company requirements and document them according to standards Must adhere to (or if needed, define) the processes for requirement solicitation, documentation and hand off Should work closely with the IT development team to elucidate the requirements, reputed company constructive discussions / brainstorming sessions to implement the best in class solution Should have basic understanding concepts like web services, relational databases etc Should be reputed company to run queries and reputed company basic reputed company analysis, RCA etc Should be reputed company to create mapping documents for the various interfaces and include business rules, transformation and DB mapping Should work closely with the reputed company and development team during the stages of development, and conduct demos at completion of reputed company, reputed company and reputed company feedback from such demos Must have excellent written and spoken communication skills Should be reputed company to multitask between internal team and clients based on reputed company tasks Work Closely with Dev, architecture and Design teams to define the GUI reputed company and platform requirements, which is the reputed company of the product Capability to think reputed company to create reputed company as needed Prior experience as a IT QA or Developer in a reputed company reputed company would be helpful though not mandatory Ability to validate Test scenarios and test plans, test data Should be reputed company to Review requirements, documentation and create Requirements Traceability reputed company (RTM) Should have excellent communication (written and spoken) skills to engage with different stakeholders like QA/dev team, clients, end users of Clients and Business reputed company Ability to assess reputed company functionality available in a product vis a vis .