Job Summary
A company is looking for a Business Analyst Staff who will perform moderate to complex tasks within a claims platform.
Key Responsibilities
- Interface with system architects and corporate staff on benefit and contract updates
- Support resolution of issues related to system projects
- Contribute to quality initiatives and continuous improvement efforts
Required Qualifications
- 5-8 years of claims processing or system set-up experience, preferably in managed care
- High School Diploma or GED required; some college preferred
- General knowledge of provider contracts, fee schedules, and payment methodologies
- Knowledge of health plan benefit interpretation and compliance legislation
- Demonstrated proficiency in MS Excel and Word
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