Lead Requirements analyst-------------------Green card and citizen only------Need Locals
Core
Lead requirements analysis and development for healthcare claims processing systems, translating business rules into technical specifications for Medicare, commercial, and government plans.
Role type
Senior Requirements Analyst (Healthcare Claims)
Builds
Functional specifications, data dictionaries, and process models for healthcare claims platforms.
Domain
Healthcare / Insurance Claims / Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Healthcare claims processing, Medicare/OPL, HIPAA transactions (837, 270/271), 4010 to 5010 conversion, ICD codes, requirements analysis techniques (C4D, ERD, DFD, UML), business rules translation, SQL queries
Preferred skills
Existing system process analysis
Technologies
MS Office, SharePoint, HP ALM, modeling tools
Responsibilities
Lead requirements development initiatives using IIBA and PMP methodologies, execute requirements analysis techniques, conduct walkthroughs with internal and external teams, elaborate business requirements, produce functional specifications and data dictionaries
Seniority
Senior, hands-on IC