Job Details

Employer Industry: Healthcare Administration

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Engage in impactful work by managing critical claims data
- Collaborative and supportive work environment
- Chance to implement improvements that enhance system efficiency and quality

What to Expect (Job Responsibilities):
- Maintain accurate and timely information on claims databases
- Load and maintain contract, benefit, or reference table information into the claim payment system
- Participate in defect resolution for assigned components
- Assist in the planning and coordination of application upgrades and releases, including test plan development
- Participate in the implementation and conversion of new and existing health plans

What is Required (Qualifications):
- Bachelor's Degree or equivalent combination of education and experience
- 5-7 years of relevant experience in claims database management
- Strong understanding of business and system requirements related to contracting and benefits
- Ability to validate data and ensure adherence to business rules
- Knowledge of configuration standards and best practices for system efficiency

How to Stand Out (Preferred Qualifications):
- Graduate Degree or equivalent experience
- 7-9 years of experience in healthcare claims management or related field

#HealthcareAdministration #ClaimsManagement #CareerOpportunity #QualityImprovement #CompetitiveBenefits

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