Ba Claims

Role Summary

Essential Responsibilities

Utilizes and participates in the more complex full system development life cycle, per current Thryve SDLC standards.
Takes a lead role in collaborating with customers, partners, and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative solutions to more complex business needs.
Takes a lead role in providing required business analysis support, including release implementations, on-call and supports when necessary.
Performs work in compliance with all Thryve IT standards, policies and procedures.
Effectively communicates with team members, customers, partners and management, including assisting with or conducting more complex technical walkthroughs, reporting project status, enabling vendor solutions and providing accurate and concise documentation.
Other duties as assigned or requested.
Required
Bachelor or Master degree in Information Technology or related field or years of related and progressive experience in lieu
Work experience in EHR EMR is also considered, but must have worked or possess knowledge of claims submission to Payers
Should have knowledge in working with all types of claim medical, hospital, Pharmacy, Dental, Vision, Blue card ITS etc.
Should have sound knowledge in claims testing end to end, work under mínimal supervision and take complete ownership of delivery
Sound knowledge of current US federal and state laws with regards to healthcare governance and policies, and preferable to have PAHM FAHM certifications or working towards certification
Preferable to have basic SQL knowledge
Business Analysis knowledge is mandatory, and preferable to have certifications like CBA CBAP or working towards certification
Should have experience in writing functional specification documents BRD
Should have the fundamentals of requirement gathering, elicitation, documenting, and transition over to internal and external stakeholders
Should have ability to solve the complex business problems and exposed to complete software development life cycle SDLC)
Enthusiastic to learn and willing to work in flexible timing, and may require to work on weekend as per business need

**About Virtusa**

Teamwork, quality of life, professional and personal development: values that Virtusa is proud to embody. When you join us, you join a team of 30,000 people globally that cares about your growth — one that seeks to provide you with exciting projects, opportunities and work with state of the art technologies throughout your career with us.

Great minds, great potential: it all comes together at Virtusa. We value collaboration and the team environment of our company, and seek to provide great minds with a dynamic place to nurture new ideas and foster excellence.

Virtusa was founded on principles of equal opportunity for all, and so does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.