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Business Analyst EDI MMIS Troubleshoot Healthcare CPT HCPCS Analyst
(Jobs in Colum
 
Requirement id 69960
Job title Analyst
Job location in Columbia, SC
Skills required Business Analyst, EDI, MMIS, Troubleshoot Healthcare CPT HCPCS
Open Date 16-May-2018
Close Date
Job type Not specified
Duration 11 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Analyst: Business Analyst, EDI, MMIS, Troubleshoot Healthcare CPT HCPCS

SCOPE OF THE PROJECT:

The Replacement MMIS project is among the most complex IT projects taken on by the States Department of Health and Human Services. This project is a multi-year effort to replace many of the States aging Medicaid systems with modern technologies and supporting business operations.

OBJECTIVES TO BE FULFILLED BY CANDIDATE:
The principal duties of this position are to coordinate and assist in all areas of UA testing environment for purposes of R-MMIS.

Specific duties include, but are not limited to:
• Ensures the UA testing team completes assignments as expected. Carries out procedures to ensure that all results meet R-MMIS documentation requirements.
• Provides technical assistance as needed in the UA environment.
• Provides quality assurance and analytical support and coordination in testing efforts.
• Provides independent system maintenance support by identifying, validating, analyzing and defining problems/issues. Assists in verification of business process documentation highlighting areas which require updating and working with appropriate staff to provide results in a timely manner.
• Consults with UA testers insuring their understanding of policies/procedures and system functionality design.
• Assist other business analyst with:
- Projects involving enhancement of MMIS.
- Computer program design, coding, testing, debugging, and modifications as required to maintain assigned systems and generate reports and/or data as needed.
• Other duties as assigned.

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• 10 years experience in healthcare insurance; medical review, program integrity, or appeals.
• 5 years experience working with IT developers/programmers in payer environment.
• Knowledge of ICD/CPT/HCPCS coding.
• Ability to effectively communicate to executive management, line management, project management, and team members.
REQUIRED EDUCATION:
Bachelors Degree
INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/v)?

Round 1 – Telephone interview conducted by project staff.

Round 2 – Telephone interview conducted by project staff. Advance of the interview.

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• Claims processing systems experience.
• Knowledge of Microsoft Office (Word, Excel, PowerPoint) or other applicable software programs.

REQUIRED EDUCATION:
Bachelors Degree
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 69960 while calling.
 
Other jobs in SC: Beaufort (1), Blythewod (2), Blythewood (3), Charleston (17), Columbia (37), Greenville (4), Hartsville (2), North Charleston (2), Overland Park (1), San Francisco (1), SENECA (4), South Carolina (1), Spartanburg (3), Unknown (2),
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(Analyst: Business Analyst, EDI, MMIS, Troubleshoot Healthcare CPT HCPCS in Columbia, SC)
     
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