Job Description

Role : Senior Business Analyst Business Analyst Lead Experience : 8- 10 Years Location : Chennai Primary skills : Payers, Pharmacy benefit Management Skills required # Work on Healthcare Space comprising Payers (Medicare Commercial plans), Pha rmacy Benefit management, Healthcare Provider ACO organization s etc. # Perform activities which is part of bigger solution using ICD9, ICD10, CPT, HCPCS classification system # Provide insights to the core analytical team on the medical markers and work with them on the advanced analytical project # Perform analytical activities using Microsoft Excel, SQL, and BASIC SAS and can use or pick up any analytical tool that is organization specific. # To create analytical products on claims data comi ng from Payers (medical & Rx), CMS, Blue Health plans, PBMs etc. and understand how they are aligned to each other & there significance also to create insights and perform analysis like comparative rate between healthcare products, reimbursement & co st analysis, financial impact calculations, and national or regional market analysis related to healthcare products and similar analysis on this area of work # Translate business requirements, develop business cases, and recommend solutions. Be clien t focused, Drive best practices through business processes knowledge # Perform research to identify business problems and ability to breakdown complex business issues to come up with solutions through extensive data analysis # Experience working in A gile projects is preferred. . Candidate Profile # Demonstrated work experience in healthcare life sciences data analytics programs for minimum of 5 years. Experience on Medical coding related to ICD9, ICD10, CPT, HCPCS classification system # Posse ss significant experience in clinical and or healthcare claims data, healthcare reforms programs and claims (medical & Rx) data coming from Payers, CMS, Health plans, PBMs # Prior experience in population health, quality measures, evidence based aler ts, various incentive programs including ACO, Meaningful Use, PQRS,PCMH, CPCI and PPIC # Prior experience in analyzing healthcare claims data,.

Job Requirements: Jira, Agile, Impact Analysis Document

Job Type

Full Time

Location

CHENNAI

Mandatory Skills

• Jira