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Systems Analyst - Health Plans & Payer
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Job Description
- Req#: JR10243
Employer Industry: Healthcare Analytics and Technology
Why consider this job opportunity:
- Salary up to $97,094
- Comprehensive compensation and benefits package, including medical, dental, and vision insurance
- Opportunity for career advancement and professional development
- Supportive and inclusive workplace culture
- Chance to work with cutting-edge technologies in healthcare analytics
- Travel opportunities for training and customer meetings
What to Expect (Job Responsibilities):
- Support encounter data reporting processes, including tracking and resolving rejections
- Conduct gap analysis and data validation to identify issues in data submission
- Analyze and reconcile claims and encounter data for submission files
- Collaborate with Product Support Engineers and development teams to resolve customer issues
- Deliver a consistent and satisfying customer experience through effective communication
What is Required (Qualifications):
- Bachelor's Degree in Health IT/Informatics/Management Information Systems or related field
- Minimum of 2 years of professional experience in Risk Adjustment data management
- Understanding of claims data and CMS submissions process
- Excellent time management and organizational skills
- Ability to guide customers remotely through complex deployments and upgrades
How to Stand Out (Preferred Qualifications):
- Familiarity with EDI Standards such as X12, EDIFACT, HL7, NCPDP
- Working knowledge in SQL scripts
- Knowledge in CMS Risk Score and Risk Adjustment methodologies
- Experience troubleshooting performance problems in technical environments
#HealthcareAnalytics #RiskAdjustment #CareerOpportunity #CustomerSupport #DataManagement
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