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Claims Systems Business Solutions Lead Analyst - Remote

Posted 2 days ago
All others
Full Time
USA
74,400 - 124,000 USD/year

Overview

The Claims Systems, Business Solutions Lead Analyst at eviCore will work with a team to improve business solutions through technical expertise in claims systems, ensuring successful project implementations and client support.

In Short

  • Manage multiple implementation/enhancement projects.
  • Lead requirements gathering and training activities.
  • Support client interactions and communications.
  • Guide stakeholders on process impacts of changes.
  • Ensure accurate capturing of requirements.
  • Provide technical support to data analysts.
  • Collaborate with various teams for project delivery.
  • Utilize strong SQL and technology skills.
  • Communicate effectively with stakeholders.
  • Prioritize tasks using time management skills.

Requirements

  • High School diploma or GED required; Bachelor's preferred.
  • 5+ years of experience in Claims Adjudication Systems.
  • Knowledge of healthcare data standards (X12, JSON, XML).
  • Strong knowledge of claims adjudication processes.
  • Advanced SQL skills required.
  • Proficient in Microsoft Office, Excel, Visio, Confluence, Smartsheet.
  • Understanding of Agile Methodology.
  • Strong organizational and time management skills.
  • Ability to travel to client sites as required.

Benefits

  • Comprehensive health benefits starting day one.
  • 401(k) with company match.
  • Company paid life insurance.
  • Tuition reimbursement available.
  • Minimum of 18 days of paid time off per year.
  • Paid holidays included.
  • Focus on supporting whole health.
  • Annual bonus plan eligibility.

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

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