Claims Configuration Technical Analyst - Remote

Overview

The Claims Configuration Technical Analyst will perform quality assurance and business analysis to test and recommend modifications for claims pricing configurations, particularly for the Bluecard business.

In Short

• Test Claims for Bluecard business and recommend modifications.
• Experience with HealthRules configuration from development to production.
• Recommend benefit and pricing setups based on system capabilities.
• Evaluate business procedures and resolve production issues.
• Identify and resolve inaccuracies in business rules impacting claims.
• Participate in business requirements gathering sessions.
• Provide application support for HealthRules software.
• Mentor business users on configuration changes.
• Create test cases and ensure testing is completed.
• Maintain user system documentation.

Requirements

• Must have Claims experience.
• Must have EDI experience.
• HRP experience preferred.
• Strong client-facing experience with leadership.
• Deep understanding of Claims processing and workflows.
• Strong experience in SQL and relevant tools.

Benefits

• Opportunity to work remotely.
• Engagement with various business units.
• Professional development opportunities.
• Mentoring and guidance from experienced analysts.