TEMP BPO Senior Associate (Houston, TX, US) bei NTT DATA
NTT DATA · Houston, Vereinigte Staaten Von Amerika · Onsite
- Professional
- Optionales Büro in Houston
| 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 Skills: |
| "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)" |
| "Soft Skills |
| 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 ≥ 95% |
| Process Documentation Completeness: % of workflows and SOPs completed and approved ≥ 95% |
| Stakeholder Satisfaction Score: Feedback from internal teams on clarity and usefulness of deliverables ≥ 4.5/5 |
| Project Milestone Adherence: % of deliverables completed on time ≥ 95% |
| SQL Query Accuracy: % of queries executed without error and delivering correct results ≥ 98% |
| Shift Hours: |
|
Working Hours: 8:00am – 5:00pm CST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement. |
