Technical Business Analyst with Claims Module experience - Remote

Minimum of 8+ years of experience in health care experience especially in MMIS domain.In depth understanding of Claims and Claims lifecycle:Claim submission – Paper and EDI X12AdjudicationPayment Cycle (Finance)ReportingEncounters and CapitationEDI X12 formats like 837P/I/DX12 formats 835, 834, 270/271, 276/277Familiarity with systems like CMdS, GHS, Facets and etcAbility to validate Test scenarios and test plans, test data.SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).EDI Tools: Validating X12 files.