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Claims Systems Technical Lead Analyst - Remote

Posted 3 weeks ago
All others
Full Time
USA
74,400 - 124,000 USD/year

Overview

The Claims Systems Technical Lead Analyst will work with a team to improve business solutions, requiring a high degree of technical and analytical expertise.

In Short

  • Manage multiple implementation and enhancement projects.
  • Gather requirements across multiple systems.
  • Perform system analysis and technical writing.
  • Facilitate client interactions and communications.
  • Support sponsors in understanding change impacts.
  • Train technical data analysts.
  • Ensure precise requirement capturing.
  • Collaborate with internal and external stakeholders.
  • Provide post-launch warranty support.
  • Work in a telecommute environment.

Requirements

  • Bachelor’s degree in IT or Computer Science preferred.
  • 5+ years of claims adjudication system experience.
  • Knowledge of healthcare industry data standards.
  • Strong understanding of end-to-end claims processes.
  • Competent in SQL and API.
  • Proficient in Microsoft Office and project management tools.
  • Understanding of Agile methodology.
  • Strong organizational and time management skills.
  • Excellent communication skills.
  • Ability to travel to client sites as required.

Benefits

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

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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