Business Analyst - Healthcare
- Best infosystems
- 8 to 10 Yrs
- Hyderabad
- 3 years ago
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Job Description
Business Analyst - Healthcare
Job Description:
Role : Senior Business Analyst / Business Analyst Lead Experience : 8- 10 Years Location : Chennai
Primary skills : Payers, Pharmacy benefit Management Skills required Work on Healthcare Space
comprising Payers (Medicare Commercial plans), Pharmacy Benefit management, Healthcare Provider
ACO organization's etc. Perform activities which is part of bigger solution using ICD9, ICD10, CPT,
HCPCS classification system Provide insights to the core analytical team on the medical markers and
work with them on the advanced analytical project Perform analytical activities using Microsoft Excel,
SQL, and BASIC SAS and can use or pick up any analytical tool that is organization specific. To create
analytical products on claims data coming from Payers (medical && Rx), CMS, Blue Health plans, PBMs
etc. and understand how they are aligned to each other && there significance also to create insights and
perform analysis like comparative rate between healthcare products, reimbursement && cost analysis,
financial impact calculations, and national or regional market analysis related to healthcare products
and similar analysis on this area of work Translate business requirements, develop business cases, and
recommend solutions. Be client focused, Drive best practices through business processes knowledge
Perform research to identify business problems and ability to breakdown complex business issues to
come up with solutions through extensive data analysis Experience working in Agile projects is
preferred. . Candidate Profile Demonstrated work experience in healthcare life sciences data analytics
programs for minimum of 5 years. Experience on Medical coding related to ICD9, ICD10, CPT, HCPCS
classification system Possess significant experience in clinical and or healthcare claims data, healthcare
reforms programs and claims (medical && Rx) data coming from Payers, CMS, Health plans, PBMs Prior
experience in population health, quality measures, evidence based alerts, various incentive programs
including ACO, Meaningful Use, PQRS,PCMH, CPCI and PPIC Prior experience in analyzing healthcare
claims data, developing comparative rate and reimbursement analysis, cost analysis and financial impact
calculations, and national or regional market studies. Strong analytical skills with the ability to collect,
organize, analyze data using Microsoft Excel, SQL, and BASIC SAS and can use or pick up any analytical
tool which is organization specific. Working knowledge of health care analytics in a Payers, Pharmacy
Benefit management, and Healthcare Provider ACO organization.
Job Requirements: SQL, Business User Analysis, Requirements Analysis, Agile, ETL Validation, Business
Requirment Document, US Healthcare experience
Location:
Chennai / Hyderabad
Skills Required:
US Healthcare
Department:
HYDERABAD/HCARE/FTE
Employement Category:
Employement Type: Full timeIndustry: IT - Software
Role Category: Sector / Business Research
Functional Area: Not Applicable
Role/Responsibilies: Business Analyst - Healthcare
Contact Details:
Company: Best InfosystemsLocation(s): Hyderabad
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