TEMP BPO Senior Associate at NTT DATA

Houston, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Feb, 26

Salary

0.0

Posted On

04 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Business Process Analysis, Process Mapping, Documentation, SQL, Data Querying, Healthcare Regulatory Compliance, Analytical Skills, Problem-Solving, Communication Skills, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, Project Management, Structured Testing, Continuous Improvement

Industry

IT Services and IT Consulting

Description

--- Analyze and interpret federal and state Medicaid program requirements to align with organizational goals and operational needs. Research, gather, and document business and regulatory requirements Develop and maintain comprehensive process documentation, including standard operating procedures (SOPs), workflows, and business rules. Perform gap analyses on claims data to identify discrepancies, compliance risks, and opportunities for process improvement. Write and execute SQL queries to support data validation, reporting, and issue resolution. Collaborate with cross-functional teams to support project initiatives, ensuring timely delivery of business requirements and documentation. Bachelor's degree in related field or equivalent experience. 4+ years of claims business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Process mapping and documentation Proficiency in SQL for data querying and analysis. Knowledge of Amisys or other claims system, HIPAA transactions (i.e. 837, 999, 824, 277) and SQL Scripting preferred. Exposure to healthcare regulatory environments and compliance standards. Previous structured testing or project management experience preferred. Microsoft Office Suite: Excel (Pivot Tables, VLOOKUP/XLOOKUP, formulas, charts), Word, PowerPoint, Outlook Strong analytical and problem-solving abilities Excellent written and verbal communication Ability to manage multiple priorities and meet deadlines Collaborative mindset with a focus on continuous improvement" Requirements Accuracy Rate: % of requirements that are implemented without rework due to ambiguity or errors ≥ 95% Process Documentation Completeness: % of workflows and SOPs completed and approved ≥ 95% Stakeholder Satisfaction Score: Feedback from internal teams on clarity and usefulness of deliverables ≥ 4.5/5 Project Milestone Adherence: % of deliverables completed on time ≥ 95% SQL Query Accuracy: % of queries executed without error and delivering correct results ≥ 98%

Responsibilities

Analyze and interpret Medicaid program requirements to align with organizational goals. Collaborate with cross-functional teams to support project initiatives and ensure timely delivery of business requirements.