Monday 16 January 2012

Need Healthcare Business Analyst (FACETS MANDATORY), Cleveland, OH.

Hi , 

My name is Alex Hunt , and I am a Recruiting Manager for KTek Resourcing. We are Tier one vendors to major pharmaceutical/financial companies and other fortune 100 clients.  I am contacting you, with regards to your resume being posted on the internet.  We are looking for a Healthcare Business Analyst at Cleveland, OH.

TriZetto's Facets experience is mandatory.

Looking for Business Analyst assistance with testing and validation of HIPAA 4010 to 5010. use TriZetto's Facets, not using the HIPAA Gateway. 

They use Foresight's validation and automation software along with their recently developed translation tool. Need assistance with automation, validation, testing, and 
tweaking maps based on findings. Foresight is a plus.

JOB REQUIREMENTS

At least three years of Business Analysis and Health Plan experience. 

Previous experience with analyzing and writing business requirements for Medical Management and Provider Operations. 

Understanding of the Milliman guidelines and how they apply to authorizing and paying services. 

Excellent written and verbal communication skills. 

Experience in CCMS and CRMS as well as Facets is a plus. 

Writing samples and examples of Business Requirement Documents are required. 

Candidates must be able to work in the US without sponsorship. In person interview will be required after a phone interview. 



Regards

Alex Hunt
Talent Acquisition

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