Healthcare Claims Analyst - NASCO, Mainframe, Billing or Enrollment

Owings Mills, Maryland

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Type: Contract

Experience: 3

Category: Information Technology

Brand: ALTA IT Services

Compensation Range: 42.00 Per Hour

Job ID: 318189

Date Posted: 04/03/2024

Shortcut: http://jobs.systemone.com/iOM7tu


HEALTHCARE CLAIMS ANALYST – NASCO, Mainframe Billing or Enrollment 
100% Remote
$42/hr. W2 Benefits available

ALTA IT Services has a 100% remote, 12 month + contract opening for a Healthcare Claims Analyst with NASCO, Mainframe and Billing or Enrollment experience to support a Maryland-based health insurance customer.

Top 5 Requirements/Skills

  • Project Management/Gathering Requirements
  • Excel, Word, Access, Reporting skills
  • Job/work experience/Strong work ethic
  • Problem solving and Analytical skills.
  • NASCO Group Enrollment & Billing/Finance experience
  • Mainframe systems navigation 

PURPOSE:
The Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented, and acted upon by eliciting, analyzing, documenting, validating, specifying, and verifying the needs of business or user. The incumbent assists in the gathering and synthesizing of business requirements for low complexity software, systems, processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as the conduit between the business area and the technical or software development team through which requirements flow.

ESSENTIAL FUNCTIONS:
  • 25% Interpret business needs and issues by gathering, eliciting, analyzing, documenting, and validating the Business area’s user and technical (functional/non-functional) requirements. Under the direction of a Lead or Senior Business Analyst, participates in the creation of requirements documentation. Collaborates in the creation of project plans to define, organize, and schedule requirements management and development activities. Participates in requirements analysis and verification sessions. Participates in the tracking and management of open issues and assists in planning for resolution. Participates in development sessions and design reviews in order to ensure design meets user requirements.
  • 25% Responsible for the overall success of user acceptance testing, including documentation, verification, and release. Implements practices and procedures for end user test plans. Identifies and documents gaps in requirement adherence or system deficiencies/defects and coordinates appropriate action through issue resolution. Providing guidance and training to application end users.
  • 20% Identifies, documents, and troubleshoots problems in systems, software, and processes. Collaborate with appropriate stakeholders to monitor, report, and resolve issues. Participates in the development of solutions and workarounds that solve low complexity technical, system and/or business issues.
  • 20% Reviews, analyzes, and creates detailed documentation of business systems and user needs. Responsible for the written documentation of requirements in a clear and well-organized manner. Develops and/or collaborates in key project and requirement deliverables for projects of low complexity.
  • 10% Monitors and reports project status to identify and mitigate risks and to ensure quality and timely deliverables. Coordinates assigned projects from concept through implementation. Prioritize and manage new work requests.
  • Education Level: Bachelor's Degree, Business, Information Technology, Computer Science, or related field
  • Experience: 3 years of experience in functional, operational, business, data, systems or testing analysis.
  • In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

PREFERRED QUALIFICATIONS
  • Demonstrated ability to deliver high quality, effective deliverables on-time and be a valuable contributor to the development of cost-effective solutions.
  • Moderate understanding of business analysis core competencies
  • Strong time-management and organizational skill, Proficient
  • Excellent communication skills both written and verbal, Proficient.
  • Ability to organize stakeholder meetings, Proficient.
  • Microsoft Office applications usage, Proficient

HOURLY RATE: $42/hr. range W2. C2C is OK but must be willing to convert to FTE.

For consideration, please contact Melissa McNally via mmcnally@altaits.com

#M1 

System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, and MOUNTAIN, LTD., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.


System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.


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