73 Medicaid Jobs - Page 2

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Responsibilities: * Manage denials through effective communication with providers and insurers. * Ensure compliance with HIPAA, Medicaid, Medicare, Cobra, ICD, CPT, HCPCS codes. Health insurance Office cab/shuttle Provident fund

Job Description The Provider Enrollment is responsible for the timely and accurate enrollment of healthcare providers with government and commercial insurance payers. This role ensures that providers are enrolled correctly and efficiently so that they can bill and receive reimbursement for services renders. The Specialist works closely with the Hospital system and payer organizations to facilitate smooth onboarding and maintain compliance with payer requirements. Role & responsibilities Prepare, submit, and track provider applications for enrollment and credentialing with Medicare, Medicaid, and commercial payers. Assist with creating and maintenance of CAQH profiles. Monitor and follow up on application statuses to ensure timely processing. Communicate with insurance companies and internal stakeholders to resolve issues related to enrollment. Maintain confidentiality and professionalism while performing work tasks. Track and Maintain work production daily. Preferred candidate profile 1-3 years of experience in provider enrollment, credentialing, or medical billing strongly preferred. Knowledge of CMS, Medicaid, and commercial payer enrollment processes. Familiarity with CAQH, NPPES, PECOS, and payer portals. Strong organizational skills and attention to detail Excellent written and verbal communication skills. Ability to manage multiple tasks and meet deadlines. Proficiency in Microsoft Office (Excel, Word, Outlook, Sharepoint) and experience navigating web-based applications Ability to work positively and productively in a fast-paced environment. Accurate typing of 40 WPM is required. Perks and Benefits: Night Shift Allowance Fixed week Offs (Sat-Sun) 2way cab facility (within 25 KM Radius) Incentives plan Walkin Details: Date: 2-May-2025- 25-May-2025 Timings: 11AM to 4PM Contact Person: HR Aishwarya/ 9032212019 Please share your resumes on the below mentioned Mail id: Pyaram.Aishwarya@sutherlandglobal.com Mention HR Aishwarya on your resume Venue: 7th Floor, Divyasree building, Lanco hills, Khajaguda, Manikonda.

#FOLLOW-UP WITH MEDICAL INSURANCE PAYERS REGARDING THE STATUS OF OUTSTANDING CLAIMS #PROFICIENT IN COMPLETING AND SENDING CLAIM FORMS ACCORDING TO UB04,CMS& THIRD-PARTY PAYER GUIDELINES #STRONG KNOWLEDGE OF END TO END DENIAL MANAGEMENT PROCESSES Required Candidate profile 1 TO 4 YEARS EXP. AR CALLING PROCESS(CMS1500)EXP. IN COMP. & SUB. CLAIM FORMS ACC. TO CMS & THIRD-PARTY PAYER GUIDELINES STRONG FOCUS ON SERVICE EXCELL. WHEN DEALING WITH PATIENTS,CLIENTS & COMP. EMP. Perks and benefits #BEST SALARY, INCENTIVE PLANS #VIRTUAL INTERVIEWS

Role & responsibilities Allocates and delegates takes amongst employees. Provides operational support to employees on all phases of transaction processing. Interacts with clients and internal departments to solve issues. Identifies and resolves issues around pending transactions. Performs quality audit on accounts . Preferred candidate profile Skills Required 3-5 years of experience in claims adjudictaion. Demonstrated client interaction skills. Ability to analyze reasons behind incomplete transactions. Understands process interdependencies • Possesses deep domain knowledge in Healthcare and Insurance domain Interested please share your resume to pushpa.shanmugam@nttdata.com

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivable. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Day : 10-May-25 (Saturday) Walk in Timings : 11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 3, 6th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Person: Arpita Mishra 8840294345, Keshav Kaushal 9205669978 Desired Candidate Profile: Candidates must possess good communication skills. Only Immediate Joiners & Candidates having relevant experience US Healthcare AR Caller/Follow UP can apply. Provident Fund (PF) Deduction is mandatory from the organization worked. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development and engagement programs, R1 offers a transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

Job description R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work Fo2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Responsibilities: Follow up with the payer to check on claim status. Responsible for calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivable. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Candidates must be comfortable with calling on denied claims. Interview Details: Interview Mode: Face-to-Face Interview Walk-in Days : Saturday ( 10th May 25 ) Walk in Timings : 11 AM to 3 PM Walk in Address: Candor Tech Space Tower No. 9, 7th Floor, Plot 20 & 21, Sector 135, Noida, Uttar Pradesh 201304 Contact Person: Arpita Mishra 8840294345, Keshav Kaushal 9205669978 Desired Candidate Profile: Candidates must possess good communication skills. Only Immediate Joiners can apply. Provident Fund (PF) Deduction is mandatory from the organization worked. Candidates not having Healthcare experience shouldnt have more than 24 Months Exp. Undergraduate with Min. 12 Months Exp is mandatory. Benefits and Amenities: 5 days working. Both Side Transport Facility and Meal. Apart from development and engagement programs, R1 offers a transportation facility to all its employees. There is specific focus on female security who work round-the-clock, be it in office premises or transport/ cab services. There is 24x7 medical support available at all office locations and R1 provides Mediclaim insurance for you and your dependents. All R1 employees are covered under term-life insurance and personal accidental insurance.

Hiring for US Healthcare company Grad with 7 months exp in RCM can apply UG/Btech with 12 months RCM can also apply Salary upto 3.60 LPA to 5.50 LPA Fixed Sat-Sun off Fixed nght shifts Loc- Gurgaon / Noida Snehal@9625998099 Required Candidate profile Candidate should have good knowledge on RCM. Candidate should be comfortable with night shifts. Candidate should have decent typing speed. Perks and benefits Both side cabs One time meal

1. AR Calling (US Healthcare) Physician Billing || Upto 40k TH || Eligibility :- Min 1+ years of experience into AR Calling into physician billing Locations :- Hyderabad , Chennai, Noida & Mumbai Package :- Upto 40k take home Qualification :- Any UG / Graduate Immediate Joiners to 1 month notice is acceptable WFO. Hospital Billing || Upto 55k TH || Eligibility :- Min 1+ years of experience into AR Calling into physician billing Locations :- Hyderabad , Bangalore Package :- Upto 55k take home Qualification :- Inter & above Immediate Joiners Preferred WFO. 2. IV Calling & Prior Authorization (RCM) || 32k TH || Experience :- Min 1 year in IV Caller (or) Prior Authorization Location :- Chennai Package :- Upto 32K Take-home Location :- Chennai Qualification :- Inter & Above Preferred Immediate Joiners Reliving is not Mandate WFO Virtual Interviews 3. AR Team Lead || 70k TH || Eligibility :- 5 yrs into AR Calling and 1 year as AR Team Lead on /off paper is fine (If On Papers Team Lead means 6 Months exp is also fine as a TL) Package :- Physician Billing Team Lead :- Package Upto 60K . Hospital Billing Team Lead :- Package Upto 70K . Location :- Hyderabad Qualification :- Inter & Above Preferred Immediate Joiners WFO 4. EVBV || Prior Auth || Medical Billing || AR Callers || 4.6 Lpa Eligibility :- Min 1+ years exp in below Positions Eligibility Verification (EVBV). Medical Billing . Prior Authorization AR Calling Package :- Upto 4.6 LPA Location :- Mumbai . Qualification :- Degree Mandate. Notice Period :- 0 to 60 Days. Relieving is Mandate. Virtual Interviews. Perks & Benefits :- Cab Facility Incentives Allowances Interested candidates can share your updated resume to HR Harshitha - 7207444236 (share resume via Whatsapp ) harshithaaxis5@gmail.com Refer your friend's / Colleague

• Accurately assign ICD-10, CPT, &HCPCS codes for Evaluation & Mgt (E&M) services. • Review inpatient (IP) &outpatient (OP) medical records for coding compliance • Ensure coding accuracy &adherence guidelines. • Work with physicians and billing teams Required Candidate profile • Exp in E&M coding (IP/OP). • ICD-10, CPT, and HCPCS coding • Familiarity with Medicare, Medicaid, and commercial guidelines Certification (CPC, CCS, or COC) preferred. Immediate joiners preferred Perks and benefits Perks and Benefits

• Assign accurate ICD-10, CPT, &HCPCS codes for orthopedic procedures • Ensure compliance with coding guidelines &payer policies • Review medical records for coding accuracy &completeness • Identify and resolve coding-related denials &rejections Required Candidate profile • 1+ years of experience in Orthopedic coding. • Proficiency in ICD-10, CPT, and HCPCS coding specific to orthopedics. Certification (CPC, COSC, or CCS) preferred. Immediate joiners preferred Perks and benefits Perks and Benefits

Job description Team Executive - Claims Adjudication Location : Hyderabad Roles & Responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 10 years of experience in Claims Adjudication . With over 1 year of experience as a Team leader Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep insights about the process to the clients as well as Internal Management. Managing and co- ordinating training programs. Excellent in Coaching and providing feedback to the team. Take necessary HR actions as part of the Performance Improvement Process Key Performance Indicators Ensuring that the key Service Level Agreements are met consistently without any exceptions. Leverage all Operational metrices to ensure that the Revenue and Profitability targets are met and exceeded . Work in tandem with all Business functions to ensure smooth business process. Retention of key team members Interested Candidates share your CV - deepalakshmi.rrr@firstsource.com / 8637451071

Essential Duties and Responsibilities: Must be on current role of team handling for minimum 1.5 years Great knowledge AR/Credit up or end-to-end knowledge Should be aware of all type of payers. Must have good understanding of payer portal for benefits & denials. Should have great verbal and written communication skills, probing skills and denials understanding Open for night shift and WFO No Planned leaves for next 6 months. Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) . Skill Set: Candidate should be good Healthcare knowledge. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group, seniors and onshore counterpart.

Role Objective : To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

#FOLLOW-UP WITH MEDICAL INSURANCE PAYERS REGARDING THE STATUS OF OUTSTANDING CLAIMS #PROFICIENT IN COMPLETING AND SENDING CLAIM FORMS ACCORDING TO UB04,CMS& THIRD-PARTY PAYER GUIDELINES #STRONG KNOWLEDGE OF END TO END DENIAL MANAGEMENT PROCESSES Required Candidate profile 1 TO 4 YEARS EXP. AR CALLING PROCESS(CMS1500)EXP. IN COMP. & SUB. CLAIM FORMS ACC. TO CMS & THIRD-PARTY PAYER GUIDELINES STRONG FOCUS ON SERVICE EXCELL. WHEN DEALING WITH PATIENTS,CLIENTS & COMP. EMP. Perks and benefits #BEST SALARY, INCENTIVE PLANS #VIRTUAL INTERVIEWS

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. You will be responsible for managing the team and ensuring successful project delivery. Your typical day will involve collaborating with multiple teams, making key decisions, and providing solutions to problems for your immediate team and across multiple teams. Key Responsibilities1 Part of a development team working on Regulatory reporting in a US Health Care 2 Responsible for closely working with Client in Requirements Gathering, designing, optimizing/automating, story telling of data, and integration with different Health care programmes / products 3 knowledge on the process of adhering to laws, regulations, standards, and other rules set forth by governments and other regulatory bodies Technical Experience1 Must have:USA Medicaid or Medicare programs / Reporting , USA Health Care domain working with Encounter / Claims data 2 Must to have :Programming in python, SAS, writing and debugging complex SQL codes.3 Must to have :U.S. Health care regulations (eg. FDA Regulations, HIPAA).4 Good to have :Experience membership claims billing diagnosis codes , Healthcare Effectiveness Data and Information Set(HEDIS ) experience , Whole Child Model (WCM) program experience, Databricks Professional Attributes1 Requires strong problem solving and communication skills to interpret issues and provide resolution.2 Excellent Team player and exceptional abilities to work well in both the Team and Individual Educational Qualification1 minimum 15 years of full-time -education Additional Information: The candidate should have a minimum of 5 years of experience in Electronic Medical Records (EMR) This position is based at our Chennai office A 15 years full-time education is required 2 hrs PST overlap (available between 8 a.m. 10 a.m PST) Qualifications 15 years full time education

Reports to (level of category) : Senior Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Roles & Responsibilities: Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. Should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months Requirements: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal). Skill Set: Candidate should be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Roles & Responsibilities: Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. Should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months Requirements: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal). Skill Set: Candidate should be good in Denial Management. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors.

Summary As a Senior Project Manager at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a communitys most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. Here are the details on this position. Your role in our mission Strengthen the quality and smooth running of important projects as we create innovative, purpose-built technologies and solutions for our company and clients. Lead one or more medium-sized project management teams by overseeing smaller aspects of a larger technological program Go all in as you contribute directly to projects, assist in staffing and overseeing assigned staff by providing direction and deadlines to ensure quality and the timely completion of tasks Interface with the client, company and project team leadership, measuring and communicating project metrics and recommending program changes as needed Drive the quality of project deliverables across all phases of the program by creating objectives, schedules, program definitions and budgets Help ensure project timeliness and quality by identifying and mitigating risk through status reporting and project updates Prepare detailed SOW for clients and obtain agreement and approval from stakeholders on the scope of that work What we're looking for 6 years or more experience managing complex projects, programs or initiatives through a full project management life cycle, with 3 or more years of Medicaid and Medicare experience preferred Strong knowledge in project management methodology such as Certified Project Management Professional (PMP) Modern understanding of budget development, control and assurance methods, and project management software Ability to translate broader program objectives of a program into clear and achievable project milestones Leadership to train, guide and mentor the work of junior colleagues Strong executive presenter who communicates ideas clearly Creative problem-solver who thrives on defining structure from ambiguity

Summary As a C/Pro*C Developer (Pro*C,SQL,Unix) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a communitys most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. Here are the details on this position. Your role in our mission Design your career for growth, new possibilities and refining your valuable skills: Head up workstreams to design, develop, test and install complex applications software that spans server, client and web components Help guide closer connections between application architects and developers to ensure design requirements are accurate and deliver a solid ROI for clients Show your skill at writing highly complex design, coding and testing documentation to create a technical product that meets client expectations Perform vital development, domain, application design, web service and database methodologies, and best practices provided by the project advisor and/or architect Serve as a technical consultant to senior management for complex projects from modifying existing apps to designing new application modules and components What we're looking for Six or more years of application, web and product design and support experience across the development life cycle, with experience preferred working with Medicaid and Medicare technologies A strong foundation in software and product design methodologies, programming languages, operating systems, web development and application implementation across the development life cycle Expertise in application development policies and procedures; and analyzing costing/ and budgets to determine financial feasibility A skilled designer and programming programmer who is effective across programming languages and environments as needed A demonstrated team player with the written and oral communication skills to be effective across application developers, clients and leadership

Summary As a Test Engineer at Gainwell, you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs of our communities. You will use your software testing skills and business knowledge to drive the development of healthcare administration products used, and relied upon, by millions of patients. Most importantly, youll have the chance to grow and develop as a professional through our exceptional developmental opportunities. Your role in our mission Essential Job Functions Contributes to test planning, scheduling, and managing test resources; leads formal test execution phases on larger projects. Defines test cases and creates integration and system test scripts and configuration test questionnaires from functional requirement documents. Executes functional tests and authors significant revisions to test materials as necessary through the dry run and official test phases. Maintains defect reports and updates reports following regression testing. Adheres to and advocates use of established quality methodology and escalates issues as appropriate. Understands the functional design of software products / suites being tested and their underlying technologies to facilitate authoring testware, diagnosing system issues, and ensuring that tests accurately address required business functionality. Clarifies ambiguous areas with technical teams. Applies basic industry and functional area knowledge related to the software product being tested and applicable regulatory statutes to determine whether system components meet business specifications. Develops specified testing deliverables over the lifecycle of the project. Work Environment Office environment May require evening or weekend work What we're looking for Job Description Overall 4 to 6 years work experience required Manual/Functional testing; Healthcare, and Medicaid testing preferred. SQL, ALM (preferred), Defect Management MS Dynamics CRM application testing Ability to write Test Plans & Test Cases; Execute test cases and track Defects Good communication skills

Summary Your role in our mission Essential Job Functions Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities. Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates. Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design. Assists in developing and modifying systems requirements documentation to meet client needs. Participates in meetings with clients to gather and document requirements and explore potential solutions. Executes systems tests from existing test plans. Assists in analyzing test results in various phases. Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project. What we're looking for Job Description 5 or more years of experience in a relevant Business Analyst position with 3 or more years of Medicaid and Medicare experience preferred Knowledge of computer programming concepts such as configuration, development and batch processing Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools Strong client communication skills translating client needs to actionable objectives Strong analytical and business process re-engineering skills Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel A leader who motivates others to action and communicates key technical ideas in a digestible way Experience writing SQL queries for data analysis. Experience working with Medicaid/MMIS systems. Support the integration of immunization registries with Electronic Health Records (EHRs), Health Information Exchanges (HIEs), and Medicaid Management Information Systems (MMIS). Conduct gap analysis to identify system enhancements and compliance requirements for immunization data reporting. Gather, analyze, and document business and functional requirements for immunization registry solutions. Collaborate with Medicaid agencies, providers, and IT teams to design and implement data exchange processes. Define data standards and validation rules for immunization records exchanged between Medicaid systems and registries. Ensure compliance with Health Level Seven (HL7) standards for immunization data exchange (e.g., HL7 etc.,). Support data mapping, transformation, and validation between immunization registries and Medicaid systems. Act as a bridge between business users, IT teams, and Medicaid stakeholders to ensure clear communication of immunization registry needs. Provide training and support to Medicaid providers, payers, and public health teams on immunization registry usage and reporting. Preferred experience includes DDI (Design, Development, and Implementation) and operations phases. Experience processing Medicaid claims and ability to troubleshoot adjudication results. Demonstrated aptitude for learning new technologies and keeping current with industry best practices. Experience with Requirement Traceability Matrices. Ability to multi-task and maintain organization in a fast-paced environment. Ability to create and maintain highest levels of confidentiality when dealing with proprietary or private information. What you should expect in this role Fast-paced,challenging and rewarding work environment. Work life balance. Hybrid Office environment. Will require late evening work to overlap US work hours.