• Temp BPO Senior Associate

    NTT America, Inc. (Houston, TX)


    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.