Job Description:

• 8-11 Years Experience

• Strong demonstrated analytical skills applied to business software solutions maintenance and/or development.

• Knowledge of the software development standards and practices.

• Demonstrated ability to find efficiencies and improve processes.

• Proven ability to determine systemic process faults and improve overall process performance across organizations.

• Understanding of claims adjudication, particularly in a health care environment

• Understanding of health industry diagnosis, procedure and revenue codes and their application

• Strong business analytical skills.

• Strong process analysis skills

• Strong process documentation skills

• Excellent communication/writing skills,

• Excellent interpersonal skills

• Attentive to detail, highly -organized, and able to multi-task

• Ability to work independently and meet deadlines

Preferred:

• Experience with claims adjudication in the Federal Employee Program Health Benefit Plan

• Experience working on a Machine Learning or Data Science project

• Experience in a software application development environment in an analytical role

• Bachelors (Health administration; business administration; software engineering or related degree required)



Required Skills:

• Knowledge of BI tools such as MicroStrategy, BusinessObjects, or Cognos.

• Experience with relational databases and knowledge of query tools is required

• Proven ability to quickly learn new applications, processes, and procedures

• Proven experience with gathering and documenting information requirements for healthcare projects

• Able and willing to collaborate in a team environment and exercise independent judgment

• Professional image with the ability to form good partner relationships across functions

• Strategic, intellectually curious thinker with focus on outcomes

• Experience working on data warehouse deployments

• Eight to Ten years of BI, data analysis or related experience in Healthcare Payer Business

• Demonstrated experience in writing software requirements and test specifications in agile

methodology using tools like HPE-Agile Manager