Senior Business Analyst Claims
Remote
W2

SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).
EDI Tools: Validating X12 files.
Interface Testing: Understanding how data flows between systems and formats and use tools like postman

Preferred skills:

Minimum of 8+ years of experience in health care experience especially in MMIS domain.
Capability to think out-of-the-box to create new solutions as needed.
Ability to validate Test scenarios and test plans, test data.
Should be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)
Should have excellent communication (written and spoken ) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units.
Ability to assess current functionality available in a product vis a vis market trends, regulatory requirements to be implemented in future version of the product.
Ability to drive and share the requirements with Technical and Architects regarding product features to be implemented.
Communication: Collaborate with cross-functional teams

Munesh

CYBER SPHERE LLC

Senior Business Analyst Claims @ W2

Key skills