Peritus Inc | Hiring | Business Analyst | Phoenix, AZ | BigDataKB.com | 2022-09-29

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Job Location: Phoenix, AZ

Job Summary

Ability to understand and gather state/CMS Encounters submission requirements and document the requirement following standards defined.

Ability to review Encounters requirements with client Business stakeholders and seek approval by meeting all the approval criteria’s.

Ability to work with EDI format 837I, P, D, 277, 835, 999, TA1, NCPDP Implementations guides and map to State/CMS requirements.

Strong Analytical skills to analyze external and internal edits/rejects and provide business solutions to the client and developers.

Ability to define scenarios for adjustment processing and understand all the intricacies in claim iterations between different source systems.

Ability to explain/clarify development and testing team regarding requirements and raise questions back to client/state/CMS as needed.

Ability to define business test cases for the requirement gathered.

Ability to test defined test cases as part of system integration testing.

Ability to understand state/CMS needs and perform test iterations as needed.

Ability to collaborate and work across cross-functional teams.

Ability to Query database SQL server or Oracle.

Excellent communication skills Written and Oral.

Facets, QNXT, membership and providers knowledge is an advantage.

Exchanges submission knowledge is an advantage.

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