Senior Claims Business Analyst at NTT DATA

Little Rock, Arkansas, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Mar, 26

Salary

145000.0

Posted On

24 Dec, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Adjudication, Business Analysis, Technical Requirements, User Acceptance Testing, Project Management, Health Care Systems, Medicaid Implementation, System Development Life Cycle, Claims Processing Workflows, Adjudication Rules, Mass Adjustments, Communication Skills, Research Skills, Presentation Skills, Training Development, Vendor Collaboration

Industry

IT Services and IT Consulting

Description

Review project artifacts/deliverables throughout the system development life cycle for quality, compliance, and completeness, document observations and findings using project team processes and standards. Analyze and document business, technical, and user requirements related to Medicaid Claims Adjudication and other functional areas. Collaborate with state business users, vendors, and internal teams to ensure alignment on project goals and deliverables. Identify and communicate project risks, issues, and dependencies. Conduct research and provide recommendations to resolve business challenges. Develop and execute User Acceptance Testing (UAT) Create and deliver presentations and training materials for business users and stakeholders. Minimum 10 years of experience in supporting or developing Health Care systems Minimum 9 years of experience in supporting large, complex Medicaid implementation projects, system development methodology and project management principles Minimum of 9 years of experience in Medicaid Claims Adjudication, including understanding of claims processing workflows, adjudication rules, mass-adjustments, and system functionality Minimum 9 years of experience with elicitation and verification of business and technical requirements Minimum 9 years of experience conducting reviews of system development life cycle documentation, project and technical architecture, and design deliverables/artifacts Undergraduate degree or 4 additional years of relevant experience Experience translating Federal and State regulations into working requirements that are actionable by technical teams Experience working with Medicaid Enterprise Systems (MES) vendors Experience with claims editing tools, adjudication engines, or Medicaid analytics platforms Ability to bridge communication between non-technical business users and technical teams The starting pay range for this remote role is $89,032- $145,000. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short and long term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally-required benefits.

Responsibilities

The Senior Claims Business Analyst will review project artifacts for quality and compliance, analyze business and technical requirements, and collaborate with various stakeholders. They will also identify project risks and conduct User Acceptance Testing.