Текст заказа
Overview: TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is an American multinational information technology services and consulting company and is a leading provider of information technology, consulting, and business process outsourcing services, dedicated helping the world's leading companies build stronger businesses. Job Title: Pega Healthcare Claims System Analyst
Location: Remote
Duration: 6 Months
Job Type: Temporary Assignment
Work Type: Remote Job Description:
* Gather, analyze, and document business and system requirements for healthcare claims processing initiatives.
* Work closely with business stakeholders, product owners, developers, and QA teams to ensure requirements are accurately defined and implemented.
* Analyze healthcare claims workflows including claims intake, adjudication, adjustments, provider reimbursement, and payment processing.
* Work with Facets modules including Claims, Membership, Billing, and Provider to support end-to-end claims lifecycle management.
* Translate business requirements into functional specifications, user stories, process flows, and acceptance criteria.
* Analyze member, provider, claims, benefits, and authorization data to support operational and system enhancement initiatives.
* Support Agile development activities including backlog grooming, sprint planning, testing, defect triage, and release activities.
* Participate in requirements workshops, stakeholder discussions, and solution design reviews.
* Support User Acceptance Testing (UAT), validate business requirements, and assist with production issue analysis.
* Ensure healthcare claims requirements and workflows align with HIPAA and EDI 837/835 transaction standards.
Required Skills:
* Healthcare Claims Processing
* Pega
* Facets (Claims, Membership, Billing, Provider)
* EDI 837/835
* Business Analysis
Years of Experience:
* 8+ Years of Experience
TekWissen Group is an equal opportunity employer supporting workforce diversity.