Business Analyst (Claims / 837 / Encounters)Location: Boston, MAPosition Type: Contract to ) Rate: DOEJob DescriptionExperienced Business Analyst with expertise in EDI and healthcare claimsSupport large-scale implementation initiativeFocus on implementation and optimization of 837 and proprietary claims filesEnsure accurate ingestion and processing across systemsHands-on role requiring assessment of current challengesPerform root cause analysisDrive improvements to claims data and processesKey ResponsibilitiesLead implementation of EDI 837 and proprietary claims files for multiple health plansAnalyze claims data and identify issuesPerform root cause analysis to resolve ingestion errorsRecommend and implement changes for accurate claims processingUnderstand business rules, core platforms, and applications supporting EDI exchangesDesign and support end-to-end frameworks for encounter and claims data exchangesFacilitate discussions with health plans and stakeholdersGather and clarify requirementsCreate and maintain documentation (business requirements, process flows, technical specifications)Communicate across business and technical teamsRequired Qualifications (MUST HAVE):Strong experience with healthcare claims processingDeep expertise in EDI transactions, specifically 837Experience implementing 837 and proprietary claims filesExperience with root cause analysis and data issue resolutionAbility to work independently in a fast-paced environment
Business Analyst (Claims / 837 / Encounters) - Boston, MA (Remote) in boston at Unknown Company
This position is listed as contract and onsite.