Information Technology

Employment TYPE

Contract

LOCATION

Raleigh, North Carolina

DATE POSTED

May 28, 2021

INDUSTRY

Information Technology

POSITION(S)

1

SALARY

Negotiable

Job# J1384

Business Systems Analyst I – Claims Reprocessing (652457)

About The Opportunity

This position will serve as a member of the Business Technology Relationship Management team. The unit is responsible for managing relationship between the DHB program/functional areas and the Technology that supports the business and division.

Job Description

  • This position will serve as a member of the Business Technology Relationship Management team. The unit is responsible for managing relationship between the DHB program/functional areas and the Technology that supports the business and supports all of the division.
  • Job Specific Responsibilities
  • Review of various claims reports to perform in-depth claim analysis, validation of system changes, and review of edits/audits in order to make recommendations to maintain the integrity of the reprocessing.
  • Provide incident monitoring, problem ticket, incident creation and troubleshooting.
  • Defect Resolution
  • Requesting System Enhancements

Required Skills

    Preferred Knowledge, Skills, and Abilities:
  • Experience working with NC Medicaid
  • Experience with NCTracks
  • Experience with gathering requirements
  • Experience working with claims adjudication/reprocessing
  • An understanding of claim edits and audits
  • Strong understanding of health care strategy, operations, technology, and regulatory requirements
  • Demonstrated ability to work independently in a fast-paced environment with concurrent deadlines
  • Excellent communication, negotiation, conflict resolution and persuasion abilities
  • Strong organizational, time management, communication, and detail-oriented skills
  • Highly proficient with Microsoft Outlook, Word and Excel

Duration

12 Months

Please Contact me to discuss the hiring process!

Vomsi Kumar

Sr. Executive Recruiter
Contact: (310) 929-8421 Ext: 103
Email: vomsi.kumar@staffactory.com

Hi! My name is Vomsi Kumar. Helping consultants with getting their desired job is what makes me feel alive. I build a unique relationship with each of my consultants and work on their profile as per their needs. I believe that my consultants are my assets and this motivates me to serve them in an even better manner. Hence, I work towards the success of every consultant I work with.