Healthcare System Analyst – Payer Systems

Role: Healthcare System Analyst – Payer Systems

Full Time

Location: 1-Woodland Hills, CA/3-Mason, Ohio, USA(Onsite Only)

Job Description:

 

Mandatory Skillset :  

    Benefits Knowledge ,

    Claims Adjudication,

    Facets Experience,

    Requirements Analysis

 

 

1 – A technical system analyst with good understanding of the healthcare process flow – Eligibility & Enrollment – Provider contract pricing – Claims adjudication – Billing – Appeals and Grievances

2 – Technical understanding of Sql and Dot net – full stack preferable

3 – knowledge of Facets platform from a developer point of view – i.e. data models, architecture, and process flow

4 – Good experience in working with Business and technical teams to prepare system requirements and Technical and functional documents.

5- We should focus on finding ones with hands-on Facets systems analyst experience, including with deep benefits + claims knowledge, strong data troubleshooting ability, and clear ownership of real production issues. 

 

“Tekshapers is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.”