Health care Business analyst

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Health care Business analyst

Business Analysis with Healthcare domain knowledge combines with Business Analyst skills to give a customized skillset for an individual looking to make a career as a Business Analyst in the Healthcare domain. This explores many business processes, use cases at every point of contact where the patient’s interfaces with the healthcare professionals. A Business Analyst should be equipped with clinical trial knowledge and with various tools usage like MS Visio, Rational rose Etc.

Introduction to Business analysis

  • Importance of BA
  • Business architecture
  • Role and responsibilities of BA
  • How different is IT BA & Health care BA
  • Software development Life cycle
    • Waterfall model, V model, Iterative, Incremental models
    • Agile Methodology

Business analysis planning

Enterprise analysis

Requirement analysis

Requirement elicitation

Requirement management &communication

Solution assessment and validation

Underlying competencies

Types of requirements and documents to understand and prepare by BA

Software Engineering principles, OOAD & UML

 

Introduction to the US health care system

 

  • Health care in the US
  • Health care reforms and other mandates
  • Jobs in the health care industry as a BA
  • Regulations, compliance, and mandates
  • HIPAA Law
  • Terms and terminology
  • Managed Health concept
  • Different integration points of health care transactions
  • How the health insurance system works in the US
  • Types of health insurances
  • Health insurance concepts
  • Medicaid and Medicare
  • Claim management system
      1. Claims processing
      2. Claims adjudication
      3. Claims pricing
      4. Claims payment

 

  • Types of transactions
    • Manual vs electronic transactions ( EDI)
  • Different type of Codes
  • The claims life cycle from billing to payment
  • Revenue cycle management
  • Care management
  • Case management
  • Recent amendments in the health care sector

 

Duration: 4 weeks

Mode of Training: Online

 

 

 

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