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Senior Business Systems Analyst

8 years

0 Lacs

Posted:1 week ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

34756BRMaryland

Responsibilities

Job description
  • Analyze encounter data to ensure accuracy and compliance with CMS and state agencies.
  • Conduct Agile Ceremonies and refine User Stories
  • Identify and resolve data issues related to encounter submissions.
  • Collaborate with IT teams and Business Teams to improve encounter data processes.
  • Support regulatory reporting and compliance initiatives.
  • Work with SQL, SSIS, MySQL, ORACLE, or PowerBI for data analysis.
  • 8+ years of experience in managed healthcare, claims, or managed care.
  • Knowledge of FACETS or similar claim adjudication systems.
  • Strong understanding of claims payment methodologies and encounter reconciliation processes.

Qualifications

NARange of Year Experience-Min Year8Range of Year Experience-Max Year12

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