The role involves researching claims data, running reports, validating and analyzing claims data as well as logging in data.
Must have 2+ years of functional analysis.
Must have 1-2 years of data entry experience
Must have experience with healthcare claims processing.
Must have advance level excel experience. Must know how to use Pivot tables as well as good word experience.
If they have LuminX is a big plus.
Program & Portfolio Management - Analyst, Functional I
ROLE: Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.
ESSENTIAL FUNCTIONS:
Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution.
Supports operations systems by providing operating information to customers; answering questions; providing training.
Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation,
Verifies operations systems by developing testing methods; conducting and documenting tests.
Improves operations analysis job knowledge by attending training sessions; reading technical publications.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: Bachelor's Degree
Education Details: Business Administration
Experience: 2 years experience in (level 2 or above) operational role.
In Lieu of Education
In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Preferred Qualifications
Knowledge, Skills and Abilities (KSAs)
Ability to recognize, analyze, and solve a variety of problems., Proficient
Highly proficient in Microsoft Office and similar applications., Proficient
Organized, detail-oriented while meeting strict deadlines. , Proficient
Excellent communication skills both written and verbal., Proficient
Demonstrate ability to work independently, Proficient
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