We are Looking for a strong US Healthcare Claims SME who can also play the Business Analyst role
• Primary requirement: Deep Claims Adjudication expertise with 8–12+ years of relevant US Healthcare experience.
• Understand and challenge complex Claims business requirements
• Translate requirements into solid User Stories & Acceptance Criteria
• Identify business-rule gaps, dependencies and exception scenarios
• Guide Development & Testing teams throughout the sprint
• Understand end-to-end adjudication including Benefits, Pricing, Provider, COB, Member liability, Denials/Pends, Adjustments and Reprocessing Preferred: Agile/Scrum exposure, SQL knowledge and experience with Facets or a similar payer core administration platform.
📌 US Healthcare Claims SME (Chennai)
🏢 Cognizant
📍 Chennai
Reply to this offer
Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.