. Growing together. The Senior Claims Business Process Analyst is required to understand aspects of claim system processes... processes for optimization Communicating with others Collaborate to develop / recommend solutions to claims business process...
schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional... OR metrics-based environment; preferably claims and/or customer service 2+ years of experience analyzing and solving customer...
with regulatory standards Provide feedback to management and business partners Claims related and business system analysis... be required to work outside of these standard business hours, including overtime to meet business need. We offer weeks of on-the...
schedules during our normal business hours of 8:00 AM - 5:00 PM. It may be necessary, given the business need, to work... customer problems 2+ years of Medicare and / OR DSNP focused Facets / COSMOS claims processing / adjustment experience 1...
) * 1+ years of claims OR resolution experience with either C&S, E&I OR M&R lines of business Experience with Windows... of experience with ISET Previous experience with Impact tool Experience with multiple lines of business and / OR claims platforms...
U.S. as you take on some tough challenges. Primary Responsibilities: Perform process reviews for the ISG C&S analyst teams Perform process... for trended opportunities Partner with ISG Training team to support analyst performance on trended opportunities Conduct Process...
process improvement opportunities Actively participate in daily meetings, and activities to support business agility...: Experience in working with multiple business partners in the requirements gathering process Experience with driving decision...
internet service. Soft Skills: Experience in working with multiple business partners in the requirements gathering process... PM including the flexibility to work occasional overtime based on business need. We offer weeks of paid training. The...
work with business analyst to execute test scenarios Work closely with Project Team to identify risks early Improve... and executing / validating test results 2+ years of experience with performing business process and data analysis RxCLAIM on IBM...
. Growing together. The Senior Claims Business Process Analyst manages claim receipt, adjudication, and post-processing... be needed) Develop/recommend solutions to identified claims business process problems/issues Identify applicable stakeholders and obtain...
as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Business... Analyst you will create and deliver high quality system solutions for our applications, products and services...
Process test claims through a COSMOS or CSP test environment Compare the outcomes of test claims with the expected results.... Growing together. As a Senior Enrollment Quality Analyst you will be performing benefit implementation audits, conduct...
. Provider Configuration Analyst will configure pricing into a Facets platform which uses NetworX pricing capabilities... and remediate configuration discrepancies/disputes. Additionally, the Sr. Configuration Analyst is responsible for loading provider...
. Provider Configuration Analyst will configure pricing into a Facets platform which uses NetworX pricing capabilities... and remediate configuration discrepancies/disputes. Additionally, the Sr. Configuration Analyst is responsible for loading provider...
to detail and problem-solving skills will be vitally important as a TOPS/USP Configuration Analyst. You’ll be responsible... for the overall benefit configuration and load in the TOPS database for assigned Key or National Account clients. Partnering...
on business need Preferred Qualifications: Experience with Axis Claims Audit experience Benefit Installation Audit...-hour shift from Monday - Friday as long as they are working the hours per business need) between the hours of 8:00 AM - 5...
, change management processes, business models, process flows, etc.) Curate a robust testing suite that is representative... configuration of business requirement Analyze larger sets claims data to evaluate patterns of billing as it relates to benefit...
for open enrollment. Analyst role within PA Capability under Jen McGonigle/Anne Mall responsible for maintaining business rules... with working in PAS (the Prior Authorization System) Experience working as a business analyst Telecommuting Requirements...
to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm local time zone. It may... be necessary, given the business need, to work occasional overtime and weekends. We offer on-the-job training. The hours...