Claims Business Analyst

Claims Business AnalystOnsite at SFO CA12 Months ContractLooking for 10 plus years of overall experience5+ years Medicare/Medicaid regulatory healthcare experience.5+ Years experience in IQVIA Claims, DDD sales, 867, and 852 inventory, marketing and calls datasets.Proficiency in Agile Project Management (Jira or ADO Board) is essential, and experience with AWS Cloud is preferredKnowledge of claim adjudication processes and Facets platform experience preferredExperience transforming complex technical requirements into an easily understood summaryAnalytical skills including critical thinking and problem solvingClear and concise verbal and written communication skillsPC proficiency to include Microsoft Word, Excel, and OutlookOrganizational skills including attention to detail and multi-tasking skillsExperience working both independently and in a team environmentExperience with Mass Health governing policies and procedures and procedural knowledge of the CMR and Bulletin releases and forumsBehavioural Health requirement understanding in both Medicare, dual and Mass Medicaid required