Business analyst (Medicaid Claims & Benefits) – DEEGIT, INC. – St. Petersburg, FL


Healthcare Payor, Claims, EDI files, 835/837, 20/271, claims setup, claims Configuration, Medicare/Medicaid, Jira/Rally

Contract W2, Contract Corp-To-Corp, 6 Months

Depends on Experience

Work from home available

Job Description

  • Support engagement delivery from healthcare functional knowledge standpoint like Payer Commercial /Medicare/Medicaid market, Provider & Network management, Billing, Enrollment, Claims etc.
  • Functional Knowledge and configuration experience of Healthcare Claims operations
  • Working experience of Claims solution design and implementations for Healthcare Payor
  • Working experience on EDI files (835/837,20/271)
  • Experience in testing claims setup & configuration
  • Lead business requirement discussions and create business & functional requirements document in partnership with other team members
  • Create business features & Epics and create stories in partnership with IT partners
  • Working experience on one of the scrum tools like Jira/Rally
  • Synthesize data/Generate outcomes to support deliverables
  • Conduct system review sessions with all stakeholders including business & IT
  • Conduct stakeholder interviews & conduct workshops to gather functional inputs on engagements
  • Perform internal & external research related to Healthcare payer industry & their operating models
  • Be a liaison between business stakeholders and IT team to translate business needs into IT features
  • Review current business processes and develop future state business process flows & operating models



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