Employer Industry: Healthcare Technology Solutions

Why consider this job opportunity:
- Remote work flexibility
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package, including medical, dental, vision insurance, and retirement savings
- Engaging work environment focused on innovative healthcare solutions
- Chance to make a significant impact on healthcare outcomes and client satisfaction

What to Expect (Job Responsibilities):
- Provide technical support to enterprise clients related to operational aspects of the products
- Conduct gap analysis and data validation, identifying issues in data submission
- Analyze and reconcile claims and encounter data, including EDI encounter files
- Collaborate with development teams to resolve support issues and document bugs
- Deliver a consistent and satisfying customer experience with each interaction

What is Required (Qualifications):
- Bachelor’s Degree in Health IT/Informatics/Management Information Systems or related field
- 5+ years of professional experience in Risk Adjustment data management
- Understanding of claims data, encounter response files, and EDI transactions
- Excellent time management and organizational skills
- Strong written and verbal communication skills

How to Stand Out (Preferred Qualifications):
- Familiarity with at least one non-Windows operating system (such as Linux, HPUX, AIX)
- Prior knowledge of CMS submissions process and EDI standards
- Experience with ETL and Mapping
- Knowledge of CMS Risk Score and Risk Adjustment methodologies
- Understanding of Medicaid and its associated processes

#HealthcareTechnology #RemoteWork #CareerGrowth #CustomerSupport #HealthcareSolutions

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