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Business Analyst Troubleshooting Medical Claims Processing PHI Hipaa Analyst
(Job
 
Requirement id 90355
Job title Analyst
Job location in New York, NY
Skills required Business Analyst, System Analyst, Troubleshooting, Medical Claims Processing PHI Hipaa
Open Date 26-Mar-2019
Close Date
Job type Contract
Duration 24 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Analyst: Business Analyst, System Analyst, Troubleshooting, Medical Claims Processing PHI Hipaa

Start Date :5/1/2019
End Date :04/30/2021
Submission Deadline :3/26/2019
Client Info :PS: S&L New York Delivery

Description:
we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our companys growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for client and for the people who work here.
currently seeks a Business Analyst to join our team in Menands, New York.

**Preferred locals with in-person interview available.
Due Date: 3/29/2019

Primary Skill: 5+ years Business Analyst-Systems Analysis

Job Description:
work collaboratively to identify and resolve Claims and Financial Subsystem problems and issues to assure that ongoing eMedNY operations are performing efficiently;
provide SME support as needed for eMedNY Claims and Financial evolution initiatives;
analyze and evaluate Claims and Financial Subsystem processes and interfaces including identification of impacts and appropriate remediation enhancements;
report and provide support to eMedNY management on claims and financial issues; and, as directed, collaborate in and support the design, development and implementation of activities necessary to maintain DOH support functions with other state agencies, other federal agencies and the provider community;
work collaboratively to interpret Medicaid policy vis-à-vis systems functionality, and participate in the development of DOH Medicaid initiatives;
represent the DOH and eMedNY at seminars and training sessions as needed.

Mandatory Qualifications:
60 + months experience managing small to medium-scale business analysis work or projects with distinct deliverables to a solution; Candidate is able to work without assistance and can provide leadership for others; may have advanced education.
At least 48 months of experience doing Systems Analysis, Troubleshooting, or User support of Medicaid Finance.

Additional nice to have qualifications:
Bachelors degree in a Technical field.
ITIL (Information Technology Infrastructure Library) Certification.
At least 60 months of experience with the Title XIX New York State Medicaid Program.
At least 60 months of experience with large-scale claims payment systems such as eMedNY, with special emphasis on interfaces with other systems, including X12 transactions.
At least 48 months of experience in a Medicaid environment with the interactions between Medicaid, Medicaid Managed Care, Medicare, providers and other state and federal agencies and programs.
At least 48 months of experience doing Systems Analysis, Troubleshooting, or User support of Medicaid Claims Processing.
At least 48 months of experience with developing and maintaining working relationships with local districts, the Medicaid provider community, other bureaus within the Office of Health Insurance Programs of the New York State Department of Health, other departments or federal agencies.
At least 48 months of experience working directly with PHI and PII daily in a HIPAA covered environment.
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 90355 while calling.
 
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(Analyst: Business Analyst, System Analyst, Troubleshooting, Medical Claims Processing PHI Hipaa in New York, NY)
     
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