Technical Business Analyst (ITS Hosting Parallel Testing / HealthRules Payer (HRP))

Project Description :

• This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications.
• Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes.
• Understand Eligibility and Premium billing functions.
• Assess requirements associated with new input and output Eligibility feeds, define UAT scope / testing needs and validate results.
• Act as point of contact for release notes, requirements and test cases related to Open enrollment processes and enhancements.
• Work alongside business and technical teams to increase collaboration and optimize productivity and communication.
• Ensure requirements and solutions conform to departmental, corporate, industry and government standards as specified.
• We are looking for a Claims Systems Technical Analyst that has hands on Testing experience that could run claims through the system for testing.

Healthcare Insurance experience on hand-on Claims Adjudication experience, configuration, and / or financial background - is a must   Responsibilities :

Basic Qualifications :