Virtual Drive

2 weeks ago

chennai, India Gig Consultants Full time

Virtual Drive (18th May - Saturday) : BA + Healthcare + Data Analyst (SQL/ETL)

Notice Period: Immediate only / 15 30 days as Official Notice or Service Notice (Negotiation notice will not be considered)

Experience:

6-9 relevant yrs (Budget) 12 LPA till 14.44 LPA

9 12 relevant yrs (Budget) 14 LPA till 17.3 LPA

Locations: Chennai/Mumbai/Pune/Bangalore/Coimbatore

Primary Skill: BA + Healthcare + Strong in Data Analyst (SQL / Any ETL) with preferred experience on Medicaid/Medicaid/Fee Schedule.

Job Description:


Strong SQL expertise
Analyse the existing table inventory in Synapse
Data Analysis and Data Querying Exp in Azure Landscape/Azure tables
Understand the Business Function served from the Customer
Validate the objects in scope with AmeriHealth SPOC
Provide inputs to development team for mapping rule validation as well as testing of ETL results
Experience in US Healthcare payer Domain - Fee Schedule & Azure Landscape Experience

JD (for Quick reference )

Key Responsibilities:
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

Qualifications:
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.

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