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Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
MMIS Analyst
(Jobs in Raleigh, NC)
 
Requirement id 17740
Job title Analyst
Job location in Raleigh, NC
Skills required Business Analysis, Gap Analysis, MMIS,
Open Date 12-Mar-2014
Close Date
Job type Not specified
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
Apply
   Email Recruiter: coolsoft
Job Description Analyst: Business Analysis, Gap Analysis, MMIS,

Description:

Responsibilities:
• Analyze, define, and document requirements for data, work flow and business processes pursuant to system modifications in a healthcare insurance setting.
• Ability to research and analyze complex information from a variety of sources in order to define, evaluate, assist with design, critique technical solutions proposed, evaluate the business impacts, and participate in solution testing.
• Knowledge of some clinical coding and an understanding of program requirements, federal regulations, State laws, and change management processes.
• Must be able to assist in the creation and review of requirements, design, and testing documentation -Conduct and/or review gap analysis.
• Must be able to anticipate potential problems, develop possible solutions, track problems identified, and participate in all aspects of testing.
• Must be able to exercise critical and creative thinking when identifying potential problems with business processes, researching/ resolving action items, and problems detected in user testing.
• Must be able to discuss potential solutions with team members and other stakeholders.

Required Skills:

Required Qualifications and Experience:
• Experience with Business Analysis methodologies and problem solving.
• Knowledge of gap analysis including the ability to conduct an effective gap analysis and then analyze the results.
• Experience in solution testing methodologies and hands on experience.
• Ability to provide documentation and reports used to evaluate impacts on policies and operations
• Working knowledge of Medicaid and/or MMIS

Desired Skills:

• Experience testing for multiple projects
• Good working knowledge of the health care industry, especially of medical policies and use of the ICD-9 coding as well as awareness of the upcoming ICD-10 coding changes.
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 17740 while calling.
 
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(Analyst: Business Analysis, Gap Analysis, MMIS, in Raleigh, NC)
     
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