Locals Only Urgent Need Lead Requirement Analyst
Core
Lead Requirements Analyst supporting Claims Project Requirements initiatives for the FEP Operations Center.
Role type
Lead Requirements Analyst
Builds
Requirements analysis and documentation for healthcare claims processing projects
Domain
Healthcare / Insurance Claims / Government Benefits
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Health Care Claims processing, Medicare/OPL Claims Processing, HIPAA Transactions (837, 270/271, 276/277), 4010 to 5010 Conversion, Benefits Administration, Coordination of Benefits, ICD Codes, Requirements analysis techniques (Context Data Flow Diagram, Entity Relationship Diagram, Process Decomposition Diagram, Decision Tables, Workflow Diagramming, Use Case Modeling, User Stories, Prototyping), Business Rules translation, AS IS/TO BE process documentation, Basic SQL queries
Preferred skills
Analysis of existing system processes
Technologies
MS Office suite, SharePoint, HP ALM, Adobe Acrobat
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, user interface specifications, business rules, use cases, and data dictionaries
Seniority
Lead, hands-on IC