Job Details

ID #43622064
State Tennessee
City Franklin
Job type Permanent
Salary USD USD0 - USD0 USD0 - USD0
Source Strategic Staffing Solutions
Showed 2022-06-25
Date 2022-06-25
Deadline 2022-08-24
Category Et cetera
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Systems Analyst (remote)

Tennessee, Franklin, 37064 Franklin USA

Vacancy expired!

STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!

Strategic Staffing Solutions is currently looking for a Systems Analyst for a contract opening with one of our largest health services clients located in Franklin, TN/REMOTE! This is a

Contract Opportunity with our company that

MUST be worked on a

W2 ONLY, NO visa sponsorship or C2C eligibility for this position. The details are below.

SYSTEMS ANALYST

Job/Role Description:
  • Resolves non-routine issues escalated from leadership, business, clients, and junior team members
  • Participate in projects to support business initiatives and drive increased operational efficiency
  • Working with subject matter experts, team leads and supervisors to identify solutions for procedural gap to support business needs
  • Responsible for leading discussions with cross-functional teams, to understand, and evaluate processes, procedures (standard operating procedures, job aids, and work instructions)
  • Plays a significant part in client implementations and internal integration/migration efforts, as well as change requests, design documentation creation and/or approval
  • Participation in requirement sessions and perform testing of applications/databases in all environments
  • In addition, this position will be responsible for researching and responding to questions in relation to process, requirements, and testing
  • Completes day-to-day project tasks without immediate supervision. Tasks involve a degree of forward planning and anticipation of needs/issues
  • The associate will be responsible for collaboration and oral/written communication with internal and external client business operations, IT departments and QA departments to support these requirements

Essential Functions:
  • Act as Subject Matter Expert for the PLEXIS Claims Manager (PCM) claim system and related wrapper processes
  • Provide SME support to Claims Systems Analysts and other internal departments, as well as external clients and vendors
  • Provide production support research and resolution for claim system related issues
  • Analyze existing setups and future system releases for opportunities to continually improve adjudication automation and accuracy, support documentation updating as necessary
  • Ability to communicate concepts and insights to business leaders and partners in a relevant and actionable manner
  • Partner with technology and analytics teams to develop new data sources for reporting.
  • Act as liaison between business and technology to execute project initiatives, and resolve issues
  • Responsible for prioritization and execution of assigned tasks and ability to identify needed actions with limited direction

Required Skills:
  • PLEXIS Claims Manager subject matter expert in system configuration, processing, reporting and issue triage
  • Ability to effectively operate within a fast pace, dynamic organization Analyze business and user requirements, and translate into proper system requirement specifications and creation of test plans/use cases to support end to end testing.
  • Proficiency in MS Office products, including Access Accomplished in claims lifecycle knowledge, SDLC, requirements analysis, configuration design, claims adjudication framework.
  • Excellent written, oral communication, client-based communication skills and interpersonal skills.
  • Knowledge of industry standard claims data types (837, 835, 277, 999) and editing rules (ICD, CPT/HCPC, NCCI, MPPR, OPPS, RBRVS, FFS)

Preferred Skills:
  • Knowledge in SQL querying
  • Knowledge of database management systems (DB2, SQL Server).

Required Qualifications:
  • Education: Bachelor s degree in business, healthcare, or computer related field.
  • 7+ years of healthcare claims life cycle experience, emphasis in claims system requirements analysis and configuration design.

Notes
  • Open to remote candidates, should be able to work on a CST or EST schedule.

How to Apply: send resume and contact information to Alexis Hoshor, Sourcing Specialist, at

The S3 Difference:The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities.

The four pillars of our company are to:Set the bar high for what a company should do Create jobs Offer people an opportunity to succeed and change their station in life Improve the communities where we live and work through volunteering and charitable giving

As an S3 employee, you’re eligible for a full benefits package that may include:
    • Medical Insurance
    • Dental Insurance
    • Vision Insurance
    • 401(k) Plan
    • Vacation Package
    • Life & Disability Insurance Plans
    • Flexible Spending Accounts

Vacancy expired!

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