Job Description

Job Summary

Strong experience in US Healthcare Payer (Medicare and commercial) , claims processing, provider data, eligibility workflows, extracts/reports, Auto Enrollment

Excellent interpersonal and communication skill

Strong understanding of SRS documentation, including functional and non-functional requirements, business rules, data formats, and dependencies and documentation standards.

Execute targeted SQL queries (DDL) to analyze current database schemas and assess future-state structural requirements.

Analyze existing APIs to understand data exchange formats, authentication mechanisms, and integration points.

Strong experience in US Healthcare Payer (Medicare and commercial) , claims processing, provider data, eligibility workflows, extracts/reports, Auto Enrollment

Excellent interpersonal and communication skill

Strong understanding of SRS documentation, including functional and non-functional requirements, business rules, data formats, and dependencies and documentation standards.

Execute targeted SQL queries (DDL) to analyze current database schemas and assess future-state structural requirements.

Analyze existing APIs to understand data exchange formats, authentication mechanisms, and integration points.

Key Responsibilities

1. To conduct in-depth analysis to understand client needs, challenges, and opportunities, translating them into clear and concise functional specifications.
2. To analyze available options, considering feasibility, cost, and alignment with business requirements and suggest solutions.
3. To participate and facilitate the walkthrough’ to brief the functional specification mapping to business requirements.
4. To prepare and / or aid the preparation of test cases in line with functional requirements
5. Tackle complex business problems and develop innovative solutions.

Skill Requirements

Health Care Must

Strong experience in US Healthcare Payer (Medicare and commercial) , claims processing, provider data, eligibility workflows, extracts/reports, Auto Enrollment

Excellent interpersonal and communication skill

Strong understanding of SRS documentation, including functional and non-functional requirements, business rules, data formats, and dependencies and documentation standards.

Execute targeted SQL queries (DDL) to analyze current database schemas and assess future-state structural requirements.

Analyze existing APIs to understand data exchange formats, authentication mechanisms, and integration points.

Other Requirements

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