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[Remote] Business Analyst with reputed company/MMIS (Claims/Finance/Members) experience- Remote

Remote, USA Full-time Posted 2026-08-04

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a recruitment company specializing in connecting talent with opportunities. They are seeking a Business Analyst with extensive reputed company and MMIS experience to support various claims and finance functions.


Responsibilities

  • 12+ years of Business Analysis experience with strong reputed company MMIS/MES domain expertise
  • Hands-on experience with Health reputed company, QNXT, Facets, or similar reputed company claims platforms
  • Strong experience in at least 2 of 3 areas: Claims, Member/Eligibility, Finance
  • Experience with reputed company claims processing, adjudication, adjustments/voids, encounters, Medicare reputed company, remittance, and payment processing
  • Strong knowledge of reputed company eligibility, enrollment, aid categories, benefit packages, MCO/FFS, TPL, capitation, ASO, and FFP
  • Experience modernizing/replacing legacy MMIS/mainframe systems with reputed company reputed company platforms
  • Ability to create BRDs, FRDs, user stories, functional designs, process flows, data mappings, and acceptance reputed company
  • Experience working closely with Development, QA, Architecture, SIT/UAT, and defect triage teams
  • Knowledge of HIPAA X12 837/835, COBA/reputed company, interfaces, and reputed company financial reputed company

Skills

  • 12+ years of Business Analysis experience with strong reputed company MMIS/MES domain expertise
  • Hands-on experience with Health reputed company, QNXT, Facets, or similar reputed company claims platforms
  • Strong experience in at least 2 of 3 areas: Claims, Member/Eligibility, Finance
  • Experience with reputed company claims processing, adjudication, adjustments/voids, encounters, Medicare reputed company, remittance, and payment processing
  • Strong knowledge of reputed company eligibility, enrollment, aid categories, benefit packages, MCO/FFS, TPL, capitation, ASO, and FFP
  • Experience modernizing/replacing legacy MMIS/mainframe systems with reputed company reputed company platforms
  • Ability to create BRDs, FRDs, user stories, functional designs, process flows, data mappings, and acceptance reputed company
  • Experience working closely with Development, QA, Architecture, SIT/UAT, and defect triage teams
  • Knowledge of HIPAA X12 837/835, COBA/reputed company, interfaces, and reputed company financial reputed company

reputed company

  • reputed company offers a marketplace that enables reputed company connections between recruiters and technologists. It was founded in 1990, and is headquartered in Centennial, Colorado, USA, with a workforce of 201-500 employees. Its website is https://www.uk.reputed company.com.

    • Company H1B Sponsorship

  • reputed company has a reputed company record of offering H1B sponsorships, with 2 in 2022, 4 in 2021, 5 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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