Business Analyst

Description

Top Three Skills A minimum of 5 years experience with Healthcare EDI (834) Enrollment Transactions
Root Cause Analysis for 820 (Payment Order/Remittance advice) Transactions
Root Cause Analysis for 834 (Enrollment) transactions Job Description Cognosante is a subcontractor on a team led by CGI in support of ACA for Consumer Information and Insurance. Cogno's piece is centered around Enrollment Resolution and Reconciliation. A Task Order has hit them on this contract specific to tax incentives to those individuals that received insurance through the exchange. As an example, they currently have over 30,000 cases to assess, analyze, audit and make a determination on tax breaks or additional info needed in a quality assurance function. In addition to the 30,000 cases currently on file, they are receiving nearly 4,000 a day and due to the volume of work, they have to report data and progress to the White House twice a week.
The Business Analyst will be a part of a team supporting all phases of the design, development and implementation of an Enrollment Resolution and Reconciliation process for health insurance exchanges. The Analyst will participate in design sessions, report on project progress and identify potential risks and issues.
The EDI Analyst will report on project progress and identify potential risks and issues and will be responsible for troubleshooting and resolving errors in 834 and 820 transactions for health insurance exchanges and performing root cause analysis. The Business Analyst will be responsible for accomplishing business objectives by identifying and solving customer information and processing problems. The Business Analyst will also be responsible for analysis of discrepancies in the
eligibility reconciliation process for multiple stakeholders and continuous process
improvement of the reconciliation process. He/she will provide content to and for
collaboration with training staff on training stakeholders on the transactions and the
reconciliation process. The Analyst may be required to provide training on the
transactions and on the reconciliation processes.
Work with the technical and development team to resolve identified issues in a timely manner.
Additional responsibilities include Participation in all phases of testing
Perform testing and thoroughly document issues
Work with the technical and development team to resolve identified issues in a timely manner
Review documented training material for accuracy and assist in end user training and support
Employee is expected to undertake any additional duties as they are assigned by their Manager.
Minimum Qualifications
Bachelor's Degree
Experience in business analysis
Experience working with IT development teams
Experience with enrollment transactions
processes