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Sr Systems Analyst - Payer Health Plan (ACA & Medicare) - Remote


PayCompetitive
LocationOrlando/Florida
Employment typeFull-Time

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  • Job Description

      Req#: 6554892003
      Employer Industry: Healthcare Technology Solutions

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Comprehensive compensation and benefits package, including holidays, vacation, and medical, dental, and vision insurance
      - Flexible remote work environment
      - Chance to work with cutting-edge technologies in healthcare analytics and artificial intelligence
      - Supportive and collaborative work culture that values diverse perspectives

      What to Expect (Job Responsibilities):
      - Proactively assist enterprise customers with post-sales installation, configuration, and troubleshooting of the Comprehensive Submissions Encounter Management Platform
      - Conduct gap analysis and data validation, identifying issues in data submission and determining financial impacts
      - Provide technical support to enterprise clients on operational aspects of products
      - Collaborate with development and engineering teams to resolve support issues and document bugs
      - Host online troubleshooting sessions and ensure a satisfying customer experience

      What is Required (Qualifications):
      - Bachelor's Degree in Health IT/Informatics/Management Information Systems or a related field required
      - Minimum of 5 years of professional experience in Risk Adjustment data management
      - Strong understanding of claims data, encounter response files, and EDI transactions
      - Excellent time management and organizational skills
      - Proficiency in SQL and familiarity with EDI Standards such as X12 and HL7

      How to Stand Out (Preferred Qualifications):
      - Experience managing product back end and web services
      - Familiarity with non-Windows operating systems (e.g., Linux, HPUX, AIX)
      - Knowledge of CMS Risk Score and Risk Adjustment methodologies
      - Prior experience with ETL and Mapping
      - Understanding of Medicaid processes and regulations

      #HealthcareTechnology #CustomerSupport #RemoteWork #CareerGrowth #DataManagement

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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