Sr Healthcare BA - II R
- Citiustech
- 7 - 8 years
- Pune
- 8 months ago
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Job Description
As a Senior Healthcare Business Analyst RCM , you will be a part of an Agile team to design and build healthcare applications and implement new features while adhering to the best coding development standards.
Responsibilities: -
- Help Clients innovate and grow with potential opportunity savings identified.
- Assess the impact of regulatory changes like pricing transparency on overall RCM processes.
- Identify opportunities for process optimization, areas of improvement and efficiency improvements within the systems
- Demonstrate problem solving abilities and strategic thinking to drive continuous improvement in client system and applications.
- Track latest developments in domain, competitors and healthcare technology developments. Prepare some competitor analysis as valid.
- Lead one or more accounts and consulting teams to ensure Customer Success, in a billable role, develop relationships with customer business sponsors, demonstrate CitiusTech consulting and domain leadership with transformative approach
Experience: -
- 7 - 8 Years
Location: -
- Mumbai
- Pune
- Chennai
Educational Qualifications: -
- Engineering Degree BE / ME / BTech / MTech / BSc / MSc.
- Technical certification in multiple technologies is desirable.
Skills: -
Mandatory Technical Skills: -
- Strong domain experience in all areas of RCM spanning across patient access, Clinical data, prior authorization, Medical coding, Benefit verification, payment reconciliations, appeals.
- Must have deep understanding of relevant processes such as data collection, validation, discrepancy management.
- Must have worked on at least one EHR product (Epic/ Cerner/Allscripts/e-clinical works/McKesson) and Electronic Data Interchange (EDI) data sets
- Able to derive high impact use cases with good understanding of digital technologies such as AI/ML/Analytics/ Gen AI/ Automation, and more along with industry trends
- Excellent communication and interpersonal skills for effective collaboration with clients
- Should have innovative skills to adapt and create solution as per customer requirement, and create service offerings/solutions in identified areas
Good to Have Skills: -
- Knowledge of denials data, Edits and scrubbing
- Strong understanding of data collection methodologies and regulatory requirements (HFMA)
- Strong analytical skills for identifying the possible solution
- Proven experience as a Business Analyst in major areas within RCM
- Proactive, adaptable to change with the ability to envision the final work product
Job Classification
Industry: IT Services & ConsultingFunctional Area / Department: Data Science & AnalyticsRole Category: Business Intelligence & AnalyticsRole: Business AnalystEmployement Type: Full timeContact Details:
Company: CitiustechLocation(s): Pune
Keyskills: IT services Cloud computing Automation Consulting Agile Data collection Healthcare Life sciences EDI Business solutions
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