Job description

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA Services currently seeks a “Claims Business Process Analyst” to join our team in “US-Remote”. This is a US based, W-2 project. All candidates will be paid through NTT DATA only. Responsibilities: • Analyze and interpret federal and state Medicaid program requirements to align with organizational goals and operational needs. • Research, gather, and document business and regulatory requirements • Develop and maintain comprehensive process documentation, including standard operating procedures (SOPs), workflows, and business rules. • Perform gap analyses on claims data to identify discrepancies, compliance risks, and opportunities for process improvement. • Write and execute SQL queries to support data validation, reporting, and issue resolution. • Collaborate with cross-functional teams to support project initiatives, ensuring timely delivery of business requirements and documentation. Required Experience: • Bachelor's degree in related field or equivalent experience. • 4+ years of claims business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. • Process mapping and documentation • Proficiency in SQL for data querying and analysis. Preferred Experience: • Knowledge of Amisys or other claims system, HIPAA transactions (i.e. 837, 999, 824, 277) and SQL Scripting preferred. • Exposure to healthcare regulatory environments and compliance standards. • Previous structured testing or project management experience preferred. Required Technical Skills • Microsoft Office Suite: Excel (Pivot Tables, VLOOKUP/XLOOKUP, formulas, charts), Word, PowerPoint, Outlook • Collaboration Tools: Microsoft Teams, Zoom, SharePoint • Project & Workflow Tools: Smartsheet, Microsoft Planner • Data Tools: SQL, Copilot (for automation and analysis) " • Strong analytical and problem-solving abilities • Excellent written and verbal communication • Ability to manage multiple priorities and meet deadlines • Collaborative mindset with a focus on continuous improvement " Performance Expectations: • Requirements Accuracy Rate: % of requirements that are implemented without rework due to ambiguity or errors &Client; 95% • Process Documentation Completeness: % of workflows and SOPs completed and approved &Client; 95% • Stakeholder Satisfaction Score: Feedback from internal teams on clarity and usefulness of deliverables &Client; 4.5/5 • Project Milestone Adherence: % of deliverables completed on time &Client; 95% • SQL Query Accuracy: % of queries executed without error and delivering correct results &Client; 98% Shift Hours: Working Hours: 8:00am 5:00pm CST Training Hours: 8:00am 5:00pm CST (2-4 weeks) About NTT DATA Services: NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more. NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($45). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.

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