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Jr. Healthcare Business Analyst

SaveSoft, Inc
Cambridge, Massachusetts, United States
July 23, 2019


Jr. Healthcare Business Analyst

• Experience in documenting the Business Requirements Document (BRD), Technical Requirement Document (TRD),

• Generating the UAT Plan, maintaining the Traceability Matrix and assisting in Post Implementation activities.

• Good experience in the EDI transactions and knowledge on EDI transaction process flows.

• Experience and understanding of health care industry, claims management process, Knowledge of Medicaid and Medicare Services.

• Good documenting and excellent communication skills.

• Knowledge and Implementation experience in Eligibility System, Facets, EHR

• Involved in using FACETS for various health insurance areas such as products, enrollment, members and other modules related to FACETS.

• Experienced in creating Use Cases, Use Case Diagrams, Class Diagrams, Sequence Flows using MS Visio and UML concepts.

• Experienced in EDI and HIPAA Testing Privacy with multiple transactions exposure such as Inbound 834 Membership Enrollment, 837Institutional, 837Professional, 837 Dental, 835 Claim Payment/Remittance Advise, 270/271 Eligibility Benefit Inquiry/Response, 276/277 Claim Status Inquiry/Response Transactions .

• Worked with different Business Areas like Claims and Enrollment to document proposed ICD 9 – 10 Code changes.

• Knowledge and expertise in working with Claims, Provider, Enrollment, Finance, Benefits, and Vendor Management Business Areas.

• Maintained the Traceability Matrix table to track the Business Requirements to the design to the testing keeping track of all requirements in the BRD.

• Experience in conducting User Acceptance Testing (UAT) and documentation of Test Cases