Allscripts

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


PayCompetitive
LocationRaleigh/North Carolina
Employment typeFull-Time

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  • Job Description

      Req#: 6338145003
      Employer Industry: Healthcare Technology

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Comprehensive benefits package including medical, dental, and vision insurance
      - Remote work flexibility
      - Supportive and collaborative work environment
      - Chance to work with cutting-edge artificial intelligence technologies in healthcare

      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 submissions
      - Analyze and reconcile claims and encounter data including 837 EDI encounter files
      - Collaborate with engineering and development teams to resolve complex technical issues
      - Host online troubleshooting sessions and deliver a consistent customer experience

      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 CMS submissions processes
      - Excellent time management and organizational skills
      - Strong written and verbal communication skills

      How to Stand Out (Preferred Qualifications):
      - Familiarity with EDI Standards such as X12, EDIFACT, and HL7
      - Knowledge of various network technologies and communication protocols
      - Experience with managing product back end and web services
      - Prior experience with ETL and Mapping
      - Knowledge of Medicaid and CMS Risk Score methodologies

      #HealthcareTechnology #RemoteWork #CareerGrowth #CustomerSupport #DataManagement #AIinHealthcare

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      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

      Allscripts Healthcare Solutions, Inc. is a publicly traded American company that provides physician practices, hospitals, and other healthcare providers with practice management and electronic health record technology.