31 Mar
Business Analyst - Claims Implementation
California, Fairfield , 94534 Fairfield USA

Vacancy expired!

RESPONSIBILITIES:Kforce has a client located out of Fairfield, CA that is looking for a Business Analyst with specific experience working on a Claims Implementation. This is a must have for the position and candidates without it will not be considered at this time. This role can be 100% remote and is scheduled for 6 months with the chance for extension.Summary:This project is the implementation of a new claims system, in additional to a number of new applications needed to support the needs of the organization with the claims system. This is a large-scale project since the claims system touches every aspect of their business. They have 10-12 tracks for this program and currently they have a gap on the Optum CES project, this is where the BA will be supporting - they can't go live with the new system unless this project is done. They will be working with the Vendor and the Physicians Relation Team.REQUIREMENTS: Healthcare Payer and Claims System experience will be a hard requirement Experience in Claims System Implementation (wants to see candidates with claims system implementation experience, not open to candidates without until we exhaust our search) Experience in Claim Editor (preferably Optum CES) Implementation Experience in coordinating with multiple internal and external stakeholders to facilitate business and technical conversation and help arrive at a decision Experience in Medi-Cal is a plus LinkedIn profiles should match resumesKforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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