Jr - Mid Level Business Analyst (Medicaid/Medicare - Claims)...

Client Network Services
Rockville, MD Remote Full Time
POSTED ON 4/19/2022 CLOSED ON 4/20/2022

What are the responsibilities and job description for the Jr - Mid Level Business Analyst (Medicaid/Medicare - Claims)... position at Client Network Services?

Summary:

As a business analyst, you will play a key role in working with the client to understand business requirements for medical claims processing, provide business solutions, identify gaps in solutions, and coordinate with technical teams to understand the design. You will be involved in a fast pace team working towards delivering quality requirements and solutions to the customer. You will have the opportunity to grow in claims adjudication domain knowledge and will help the team in process improvements.

**Must be able to obtain Public Trust Clearance for employment

***In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States, and to complete the required employment eligibility verification at time of hire or transfer. CNSI will not sponsor new employment visa petitions.

Working remotely within the United States is acceptable for this position.

Responsibilities include, but not limited:

  • Working with the customer to elaborate details on the requirements provided
  • Identifies and manages scope of changes based on client requirements
  • Acts as a liaison between the client and the technology teams
  • Supports team to develop use cases, workflow diagrams, and gap analysis to create or modify requirements documents and design specifications
  • Coordinating with development and testing team on the development of the requirements
  • Creating and Managing Business Requirement Documentation
  • Ensures bi-directional traceability of requirements
  • Capable of interpreting CMS transmittals and converting them into business requirements
  • Functions as an individual contributor and works under moderate supervision with clearly defined guidelines and direction
  • Strong communication skills

Experience/Preferred Skills Required:

  • Minimum of 3 years’ Proven Domain knowledge of Medicare and claims processing.
  • Proficient in industry standard business analysis best practices.
  • Proven knowledge on creating business rules.
  • Demonstrate basic understanding of SQL
  • Proven experience in working with MS Office especially Visio
  • Worked in an Agile team previously

  • Scaled Agile Framework (SAFe) experience is a plus


About Us:

At CNSI, we strive to be the market leader and most trusted partner for innovative and transformative technology-enabled solutions that improve health outcomes and reduce costs. We’re passionate about helping our clients improve the health and well-being of individuals and families. We succeed when our clients succeed.

Innovation and commitment to our mission are core to our DNA. And through our shared values, we foster an environment of inclusion, empowerment, accountability, and fun! You will be offered a competitive compensation and benefits package.

CNSI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status or any other status protected by applicable Federal, state, or local law. We are proud of our diversity and encourage all qualified applicants to apply.


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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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