Technical Healthcare Business Analyst Consultant

posted on August 1, 2017

Job Description

Location: Baton Rouge, LA

Duration: 6 Months

  • Functional Requirements for 276-277 EDI Claims Status (Design team will work on existing functional requirements.
  • New BA can work on the functional reqs that reflects accurate functionality in production as a next version.
  • The next version of functional reqs will serve as the reference to fill the gaps.
  • Functional Requirements for 837 I,P,D EDI Claim Encounters (Target Completion Date: 9/15/2017)
  • Functional Requirements for 835 EDI Electronics Remittance Advice (Target Completion Date: 10/15/2017)
  • Functional Requirements for 270-271 EDI Eligibility Enquiry (This is currently not included in the list since Eligibility web service is being redesigned.
  • This will be planned after the Elig web service is implemented.

Please note the below:

  • There will not be business involvement in the functional requirements gathering process. However, we will need to involve business in the review and approval process after the documentation is gathered.
  • The new BA will need to work with technical SMEs and document the functional requirements.
  • There are existing functional requirements documented for 5010 implementation and the new BA can start from here. (There is no need to start from scratch).

Skills Needed:

  • Business Analysis
  • Requirements Gathering
  • Requirements Elicitation
  • Analysis of existing system and documenting the requirements for the future state at functional level
  • Solution Assessment and Validation
  • Technical Knowledge and skills in understanding and interpreting the code
  • Healthcare Domain Knowledge particularly EDI transactions
  • Ability to pick up and start working without much training