CaryRecruiter Since 2001
the smart solution for Cary jobs

Product Owner

Company: HCL Technologies
Location: Cary
Posted on: March 26, 2020

Job Description:

HCL Digital Consulting practice has a full time opportunity for a Healthcare Proxy Product Owner/Domain SME in Cary, NC.Overview: Translate business needs into clearly defined and documented, high quality requirements and/or supplemental specifications for new applications. Analyze data to determine business problems. Handles information including patient services and how services are paid. Work with teams to identify charge system weakness, recommend changes and focused education. Ensure adherence to compliance policies and contracts.Responsibilities:--- Review, analyze, and evaluate business processes and associated IT application requirements.--- Develop and execute test strategies, plans, scenarios, and tracks resolution to identified defects.--- Define and document business and IT system processes. Models AS-IS and TO-BE processes.--- Conduct and facilitate JAD sessions to develop and coordinate the requirements, specifications, design, and testing efforts.--- Analyze business workflow and system needs for conversions and migrations; assists in data mapping. Analyze change requests/enhancements in existing applications.--- Conduct gap analysis, identify root cause and assist with problem management.--- Prepare high level user documentation and training materials.Experience/Skills Required--- 12+ years of experience working as a domain SME for a health plan--- 4+ years of Healthcare experience in any of the following:o Core Administration Modules, Claims, Enrollment & Billing Delivery, Program Management, Product Management, or Network Management--- Strong consulting experience & exposure to IT Healthcare sales cycle--- Preferred 4+ years of experience in one or more of the following:o Operational business process improvement/analysis, benchmark or workflow analysiso Ability to work on claims with different LOBs such as Commercial, Medicare, Medicaid etc.o Knowledge and experience of Medicare & Medicaid state level reporting levelso Strong understanding of healthcare data formats, standards; map to CMS and state reporting.--- Exposure to claim functionalities such as Edits, COBs, claims adjustments, Episodes etc.Preferred Skills:--- Exposure to IKA systems or Facets claims adjudication is an advantage--- Exposure to ITS claims and duals is an advantage--- Knowledge and experience with Medicare & Medicaid--- Past use of any data base program such as MS Access is a plus--- Travel Readiness to 40% (mostly to Richmond, VA)Educational Background:--- Additional degree MBA, MHA preferred

Keywords: HCL Technologies, Cary , Product Owner, Other , Cary, North Carolina

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Other Jobs

15W UAV Operator
Description: Military drones, also known as Unmanned Aerial Vehicles UAVs , are used in the field to gather intelligence for tactical operations. As an Unmanned Aircraft Systems Operator in the Army National Guard, (more...)
Company: Army National Guard
Location: Burlington
Posted on: 04/7/2020

Optometrist Opening in Rocky Mount, NC
Description: US Vision is seeking an independent Doctor of Optometry for our JC Penney Optical location, located in Rocky Mount, North Carolina U.S. Vision is one of the largest retail optical chain in the United (more...)
Company: U.S. Vision
Location: Rocky Mount
Posted on: 04/7/2020

Class A CDL Owner Operators - Great Pneumatics Driver Jobs: 200K Average Annual Pay!
Description: br Pneumatic 1.84 loaded / 1.39 empty fsc on all miles br br Owner Operators - Great Pneumatics JobsOakley s Pneumatics jobs are perfect for Owner Operators who enjoy variety in their work. (more...)
Location: Chapel Hill
Posted on: 04/7/2020

Remote Law Enforcement Transcriber
Description: Net Transcripts is looking for many vendors / independent contractors who have experience transcribing audio content of criminal investigations, court proceedings, law enforcement interviews, jail calls, (more...)
Company: Net Transcripts
Location: Burlington
Posted on: 04/7/2020

OTR Team Tractor Drivers
Description: br br Travel throughout the United States and Canada. br Higher revenue on lower miles. br Welcome to Panther. br br We are looking for OTR Team Tractor Drivers company and Owner Operators (more...)
Company: Panther Premium Logistics
Location: Rocky Mount
Posted on: 04/7/2020

Housekeeper - Courtyard - (20009447)
Description: Here's To Your Journey with Courtyard With more than 330 managed locations in more than 20 countries Courtyard by Marriott offers a refreshing environment that helps guests stay connected and balanced. (more...)
Company: Marriott International, Inc.
Location: Burlington
Posted on: 04/7/2020

Senior Systems Engineer - Core Services
Description: Laboratory Corporation of America is seeking a senior-level Systems Administrator/Engineer for its Burlington or RTP Location, who will work in the Core Services team, which is responsible for supporting (more...)
Company: LabCorp
Location: Burlington
Posted on: 04/7/2020

Now Hiring: UPS
Description: Easy Application
Location: Wilson
Posted on: 04/7/2020

Want A Quick $350 Today?
Description: 1 Enter Email 2
Company: MoneyAtHome
Location: Rocky Mount
Posted on: 04/7/2020

Private Investigator
Description: Responsibilities: -Conducting field investigations and covert surveillance with an emphasis
Company: Meridian Investigative Group, Inc.
Location: Burlington
Posted on: 04/7/2020

Log In or Create An Account

Get the latest North Carolina jobs by following @recnetNC on Twitter!

Cary RSS job feeds