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Business Analyst
OmegaHiresClaims Domain lead for MMIS healthcare projects in a remote capacity. Driving claims processes and coordinating with clients throughout the project life cycle.
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Play the role of Claims Domain lead for MMIS healthcare projects.
- Drive the claims module and process, ensuring quality and customer satisfaction.
- Coordinate with customers and assist in implementation decisions.
- Guide the entire life cycle and troubleshoot problems in the application.
- Conduct demos and track feedback from milestones.
Requirements
What you’ll need- 8+ years of healthcare experience, especially in the MMIS domain.
- Hands-on experience in claims processing and adjudication processes.
- In-depth understanding of Claims and Claims lifecycle.
- Familiarity with systems like CMdS, GHS, Facets.
- SQL proficiency for validating data in backend tables.
- EDI tools for validating X12 files.
- Excellent written and spoken communication skills.
- Ability to multitask between internal and external stakeholders.
Benefits
Comp & perks- Health insurance
- Retirement plans
- Professional development
- Flexible work arrangements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processingadjudication processesSQLEDI toolsX12 files
Soft Skills
communication skillsmultitasking