Careers

Domain: – Healthcare

Experience: 5 + years

Job Description:-

Mandatory Skills:

• Experience in System Analysis and Business Analysis into US Healthcare Domain.
• Hands-on experience in sub-sectors of Healthcare such as Remote Patient Monitoring, Population health Management, Telemedicine, Payers, Providers, Life sciences, Healthcare Technology, claims data.
• Overall understanding of the key drivers in the industry Value-Based Care, Cost Containment, Telemedicine, Population Health Management, Remote Patient Monitoring, etc.
• Strong Experience of at least 2-3 core systems belonging to any of the Healthcare player’s EMR/EHR/HIS, claims adjudication, Benefits Management, Enrolment Billing, PBM, etc.
• Understanding of various Healthcare data standards such as HL7, CCD, QRDA, CSV, etc.
• Should have a good understanding of US Healthcare concepts such as Medicare and Medicaid services.
• Experience in analysing healthcare claims data
• Proficient use of IT systems and analysis tools including Microsoft Office (e.g… Excel, Word, PowerPoint)
• Must be able to convert Client/Stake holder requirement into Business Requirement Document(BRD) and Functional Requirement Document(FRD)
• Must be able to create and maintain high quality requirement artefacts (user stories, activity diagrams, use cases, data mapping sheets, etc.) using various tools (i.e., Visio, Wire framing tools (Balsamiq), data modeling tools, etc.)
• Perform activities which is part of a bigger solution using ICD9, ICD10, CPT, HCPCS.
• Ability to read data models and to understand database table relations
• Strong technical skills including: Epic navigation and reporting, MS Access, Excel, PowerPoint, Word
• Demonstrated ability to present complex ideas to a broad spectrum of internal and external audiences
• Familiarity with health system operations
• Strong problem-solving skills
• Ability to work independently and in a team
• Ability to demonstrate initiative, good judgment and effective decision-making
• Ability to be user-focused, build relationships and communicate effectively

Preferred Skills:

• Must demonstrate a methodical, analytical, and clear approach to problems.
• Experience working in Agile projects is preferred
• Excellent written and verbal communication skills
• Drive to learn new US Healthcare concepts and build in-depth expertise so to apply the new concepts to our clients
• Work using their own initiative, showing attention to detail and customer focus, with a good understanding of the client needs and priorities
• Connecting with client, gathering, validating, and documenting business requirements, user training manuals and guides, and requirements traceability matrices.
• Create Wireframes/ prototype version of the business model
• Create and maintain high quality requirement artifacts (user stories, activity diagrams, use cases, data mapping sheets, etc.)
• Identifying issues, risks and benefits of existing and proposed solutions and outlining business impacts
• Creating functional specifications for solutions.
• Ensure that the proposed software solution meets all business needs.
• Simplifying information and deciphering technical jargon so it is easily understood by the whole team
• Delivering written and verbal presentations to an organization’s leadership to communicate key findings and updates
• Creating business requirements documents, periodically reviewing the progress of implemented

Roles & Responsibilities:

• Should have a good understanding of US Healthcare concepts such as Medicare and Medicaid services.
• Experience in analyzing healthcare claims data
• Proficient use of IT systems and analysis tools including Microsoft Office (e.g.. Excel, Word, PowerPoint)
• Must be able to create and maintain high quality requirement artifacts (user stories, activity diagrams, use cases, data mapping sheets, etc.) using various tools (i.e., Visio, Wire framing tools (Balsamiq), data modeling tools, etc.)
• Working with the team through collective brainstorming sessions and developing new solutions that are subsequently made sellable.
• 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
• Understand client needs and business objectives and present findings in an easy-to-understand way.
• Hands-on-experience in end-to-end execution of Remote Patient Monitoring/Digital Health/e-prescription/telemedicine projects including requirements gathering, analysis, design, development testing and documentation.
• Ability to handle complex projects in a multi-tasking environment, meet deadlines and interact with individuals at different levels within the organization.