Senior Business Systems Analyst
O2 Technologies,Inc · Clifton Heights, PA · 2 mo ago
On-siteInformation TechnologyContract
Key Responsibilities
- Medicaid Program Management
- Member Enrollment & Eligibility
- Provider Management & Credentialing
- Care Management & Coordination
- Behavioral Health Services
- Prior Authorization & Utilization Management
- Claims & Encounter Processing
- State Agency Reporting & Regulatory Compliance
- Business Process Analysis & Improvement
- Requirements Gathering & Documentation
- Functional Specification Development
- User Story Creation
- Process Flow Modeling
- Stakeholder Management & Facilitation
- Agile & Waterfall Project Delivery
- Data Integration & Interface Analysis
- Source-to-Target Mapping
- EMR/EHR System Expertise
- Technical Skills: SQL / Relational Databases, Data Analysis (SQL / Excel)
- Agile / Scrum Methodology, Waterfall Methodology, SDLC Knowledge
- EMR/EHR Platforms
Requirements
- Bachelor's Degree in Health Informatics, Healthcare Administration, Business Administration, Public Health, Computer Science.
- Preferred: Master's in Health Informatics, MBA, MPH, Master's in Business Administration.
- Industry Experience: Healthcare, Government Health Programs, Medicaid, Health Insurance, Medical Claims Processing, EMR/EHR Implementation.