Job Description

• Minimum of 6-9 years’ experience as a Business Analyst primarily with the US healthcare client and Healthcare IT projects
• In depth Knowledge on Clinical data sources E.g. EDI, ICD-9, ICD-10, CPT, 837I, 837P, CCDA, QRDA, HL7, FHIR, EMR
• Understanding different HIPAA measures (ECQM / HEDIS / HCPCS/DSRIP / MIPS etc)
• In depth Knowledge on Payer data sources (member/enrollment, Claims, Revenue etc)
• Conduct internal and client UAT sessions before release
• Work with business stakeholders and decision makers to gather and define business and functional requirements, and technical specification.
• Create detailed documentation of features and functions
• Define processes and workflows to improve product development activities
• Feed Analysis, technical Documentation and Feed Specification document
• Ability to understand and develop data mapping documents, Technical Documentation and Specification document
• Experience with defining test cases and test scripts
• Collaborate in the planning and design of new applications, and enhancements to existing applications

REQUIRED SKILL SET

• Graduate or Post graduate in Health and Hospital management / health administration / Biotechnology / Pharmacy.
• Knowledge about clinical quality measures is a must such eCQMS, HEDIS, PDI, PQI etc.
• Ability to work independently in a fast-paced environment while simultaneously managing multiple assignments
• Data analysis and SQL knowledge is required
• Ability to conduct research into systems issues and products as required
• Ability to communicate ideas in both technical and non-technical terms
• Ability to work with minimal supervision
• Excellent written and oral communication skills
• Excellent listening and interpersonal skills

GOOD TO HAVE:

• Must have any one US Gov Program Quality Reporting experience.
• VBP knowledge is preferred

Qualifications

Graduation / post-graduation in health and hospital management / Pharmacy / health administration or any related health care stream

Additional Information

BENEFITS:

• Base Salary w/ Bonus Opportunities
• Health Insurance
• Dental Insurance
• Paid sick and vacation Time Off + Paid Holidays
• Free Gym Membership
• Monthly Social Engagement Events w/ Staff