Healthcare Insurance BA - Plainsboro - Damco Solutions

    Damco Solutions
    Damco Solutions Plainsboro

    3 days ago

    Description

    Job Description

    Healthcare Insurance BA role requires a subject matter expert with 10-12 years of experience in healthcare indemnity plans, specifically in US region.

    • · Health SME (Subject Matter Expert) must have expertise in health care indemnity plans.
    • · Proven experience is needed with underwriting processes, policy admin systems, claims process, benefit configuration, form generation and integrations with down and upstream systems.
    • · Proficiency is required in implementing Health portals following ANSI EDI standards as well as knowledge and experience in billing claims HIPAA regulations EDI files requirement gathering process modelling documentation ability to collaborate stakeholders internally clients Familiar industry specific tools policy administration claims management underwriting Extensive functional integration associated third-party systems Integration core system portals apps

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