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Hexaware is Hiring Senior Business Analyst – Healthcare

Hexaware is Hiring Senior Business Analyst – Healthcare

Job Role and Responsibility

  • Analyze Medicaid fee schedule requirements for various healthcare services across different states.
  • Design and develop fee schedule configurations in collaboration with stakeholders, including Medicaid program managers, actuaries, and IT professionals.
  • Implement and maintain fee schedules within the organization’s claims processing system.
  • Conduct thorough testing and validation of fee schedule implementations to ensure accuracy and compliance.
  • Monitor fee schedule changes and updates from regulatory agencies and proactively address any impacts on existing configurations.
  • Provide subject matter expertise on fee schedule-related inquiries and issues, and collaborate with internal teams to resolve them in a timely manner.
  • Document fee schedule specifications, processes, and workflows, and provide training and support to end-users as needed.
  • Expertise in creating BRD, FRD and Data Mapping documents such that Development can continue based on these artifacts.
  • Analyze the existing table inventory in Synapse / Azure cloud platform pertaining to the Fee schedule .
  • Strong Data Analysis using SQL queries to analyze the issues, patterns etc
  • Exposure is working with data /data analysis on the MS Azure cloud platforms

Skills Required that will help succeed

  • Bachelor’s degree in Healthcare Administration, Business Administration, Information Systems, or a related field.
  • • Minimum of [6] years of experience as a Business Systems Analyst, in the healthcare industry and specifically with Medicaid fee schedules.
  • • In-depth knowledge of Medicaid programs, fee schedules, reimbursement methodologies, and state-specific regulations.
  • • Proficiency in analyzing complex data sets and translating business requirements into technical specifications.
  • • Strong analytical, problem-solving, and decision-making skills.
  • • Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams.
  • • Experience with healthcare claims processing systems and software applications is preferred.
  • • Certification in Business Analysis (e.g., CBAP) or related field is a plus.

Recruitment Details

Company NameHexaware
Company Websitehttps://www.hexaware.com
Job RoleSenior Business Analyst – Healthcare
Job qualificationBACHELOR OF ENGINEERING
Work Experience6 years
SalaryBest of Industry
Job LocationUnited States

What position is available?

Hexaware is currently hiring for the position of Senior Business Analyst – Healthcare in the United States.

What are the main responsibilities of this role?

The Senior Business Analyst will be responsible for analyzing business processes and requirements within the healthcare domain, working with stakeholders to identify improvement opportunities, and developing solutions to enhance operational efficiency and effectiveness.

What qualifications are required for this role?

Ideal candidates should have a strong background in business analysis, experience in the healthcare industry, proficiency in business analysis tools and techniques, and excellent communication and analytical skills.

How can I apply for this position?

Interested candidates can apply through Hexaware’s official careers website by submitting their resume and completing the online application process.

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