Business Analyst

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OmegaHires

11 - 50 employees

🎯 Recruiter

🏢 Enterprise

Recruitment • Enterprise • IT Services

OmegaHires is a full-service digital and enterprise IT staffing firm that focuses on providing both permanent and contingent workforce solutions across various digital and enterprise technologies. The company specializes in UX development with full stack developers using modern technologies such as React, Angular, and Node. js, as well as microservices development utilizing Java, Scala, Go, and SQL. OmegaHires also provides expertise in integration and big data technologies, DevOps for automated CI/CD pipelines, and enterprise IT management including ERP and SAP systems. Committed to "responsible recruiting," OmegaHires uses unique sourcing and assessment methodologies and offers training and mentorship to ensure candidates meet the evolving needs of their clients.

📋 Description

• Play the role of Claims Domain lead for MMIS healthcare projects. • Drive the claims module and process, ensuring quality and customer satisfaction. • Coordinate with customers and assist in implementation decisions. • Guide the entire life cycle and troubleshoot problems in the application. • Conduct demos and track feedback from milestones.

🎯 Requirements

• 8+ years of healthcare experience, especially in the MMIS domain. • Hands-on experience in claims processing and adjudication processes. • In-depth understanding of Claims and Claims lifecycle. • Familiarity with systems like CMdS, GHS, Facets. • SQL proficiency for validating data in backend tables. • EDI tools for validating X12 files. • Excellent written and spoken communication skills. • Ability to multitask between internal and external stakeholders.

🏖️ Benefits

• Health insurance • Retirement plans • Professional development • Flexible work arrangements

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