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Operations Configuration and Integration Analyst
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Job Description
- Req#: 1523923
Employer Industry: Managed Care Services
Why consider this job opportunity:
- Salary up to $46.68 per hour
- Comprehensive benefits package including health insurance, 401K, stock purchase plans, and tuition reimbursement
- Flexible work options with remote, hybrid, field, or office schedules
- Opportunity for career advancement and growth within a diversified organization
- Supportive workplace committed to diversity and equal opportunity
What to Expect (Job Responsibilities):
- Analyze, interpret, load, test, and maintain configurable tables and software for claim adjudication
- Develop and execute testing scenarios and conditions for new configurations and programming enhancements
- Research and resolve configuration-related claim problems in a timely manner
- Develop system queries to determine the scope of issues and recommend solutions
- Serve as a technical reference for translating system specifications and coordinating programming changes
What is Required (Qualifications):
- Bachelor's Degree or equivalent combination of education and experience in a managed care environment
- Minimum two to three years of experience in an automated medical claims environment
- Minimum one to two years of experience in systems logic and testing
- Strong understanding of claims adjudication rules and processing programs
- Ability to comply with all policies and standards
How to Stand Out (Preferred Qualifications):
- Experience in a multiple product managed care environment
- Knowledge of Macess imaging system and claim-related software packages
- Proven ability to identify system solutions that enhance claims processing
#ManagedCare #ClaimsProcessing #CareerOpportunity #FlexibleWork #DiversityAndInclusion
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