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Sr. Business Systems Analyst

Job Description



Description:

The Business System Analyst will become an expert in the software and advise the organization on preferred options for business and technical configuration. In this role, you'll be responsible for application configuration and leverage your project planning, execution, and implementation acumen to drive changes to our business applications. You will help trouble-shooting system issues, attend design meetings, work to understand business requirements and put them into actionable plans, understand custom configuration needs and work with technical resources to scope and develop required solutions. You will also be participating in 3rd Party application implementation project and updates.


This is 100% remote



SKILLS


• Trizetto/Cognizant QNXT working or configuration experience

• Expertise with SQL

• Strong analytical and critical thinking skills

• Ability to work independently in a hands-on role

• Strong facilitation skills

• In-depth understanding of System Design Methodologies

• Strong verbal and written communication skills

• Demonstrated ability to manage multiple timelines and priorities

• Proficient knowledge of flow charting/process mapping

• Understanding of the Insurance Marketplace, especially government programs

• Functional knowledge of healthcare claims processes and payment methodologies such as (MS-DRG, APR- DRG, APC, OPEAPG, ASC Groupings, Per Diem and Capitation)

• Functional understanding of health care claim data sets such as ICD-10, CPT, HCPCS, and Rev Codes

• Understanding of member benefit configuration such as Deductibles, Co-Pays, Co-Insurance, Benefit Maximums and Accumulators




EXPERIENCE


• 3+ years of experience working in Information Systems or other related areas providing application support and/or configuration management

• 3+ years of working experience in health insurance industry

• 3+ years’ experience writing TSQL or SQL queries

• Demonstrated experience around QNXT Systems Configuration, version 5.3 or later

• In-depth knowledge around Claims, Benefits, Service Group Design, Contracts, QNXT Rules, QNXT Edit Structure and Fee Tables required

• Experience with developing SQL queries and working with QNXT back-end tables

• Project management experience a plus



Skills:

Business Analyst, System Analyst, Test Cases, Healthcare, QNXT





About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Requirements

 

Job Snapshot

Location US-VA-Richmond
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Other
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Company Overview

TEKsystems, Inc

We’re partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services and real-world application, we work with progressive leaders to drive change. That’s the power of true partnership. TEKsystems is an Allegis Group company. Learn More

Contact Information

US-VA-Richmond
Snapshot
TEKsystems, Inc
Company:
US-VA-Richmond
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Other
Store Type:

Job Description



Description:

The Business System Analyst will become an expert in the software and advise the organization on preferred options for business and technical configuration. In this role, you'll be responsible for application configuration and leverage your project planning, execution, and implementation acumen to drive changes to our business applications. You will help trouble-shooting system issues, attend design meetings, work to understand business requirements and put them into actionable plans, understand custom configuration needs and work with technical resources to scope and develop required solutions. You will also be participating in 3rd Party application implementation project and updates.


This is 100% remote



SKILLS


• Trizetto/Cognizant QNXT working or configuration experience

• Expertise with SQL

• Strong analytical and critical thinking skills

• Ability to work independently in a hands-on role

• Strong facilitation skills

• In-depth understanding of System Design Methodologies

• Strong verbal and written communication skills

• Demonstrated ability to manage multiple timelines and priorities

• Proficient knowledge of flow charting/process mapping

• Understanding of the Insurance Marketplace, especially government programs

• Functional knowledge of healthcare claims processes and payment methodologies such as (MS-DRG, APR- DRG, APC, OPEAPG, ASC Groupings, Per Diem and Capitation)

• Functional understanding of health care claim data sets such as ICD-10, CPT, HCPCS, and Rev Codes

• Understanding of member benefit configuration such as Deductibles, Co-Pays, Co-Insurance, Benefit Maximums and Accumulators




EXPERIENCE


• 3+ years of experience working in Information Systems or other related areas providing application support and/or configuration management

• 3+ years of working experience in health insurance industry

• 3+ years’ experience writing TSQL or SQL queries

• Demonstrated experience around QNXT Systems Configuration, version 5.3 or later

• In-depth knowledge around Claims, Benefits, Service Group Design, Contracts, QNXT Rules, QNXT Edit Structure and Fee Tables required

• Experience with developing SQL queries and working with QNXT back-end tables

• Project management experience a plus



Skills:

Business Analyst, System Analyst, Test Cases, Healthcare, QNXT





About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Requirements

 
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Sr. Business Systems Analyst Apply now