Benefits Contract Implementation Analyst

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Benefits Contract Implementation Analyst

Remote Job |   2022-07-25 09:44:21

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Job Code : 2022-ACS0040

Benefits Contract Implementation Analyst

100% Remote

12+ month Contract

Details of the role:

Perform various analysis and interpretation to link business needs and objectives for assigned function.

Key responsibilities:

• Interpret state regulations and develop benefit configuration requirements 
• Conduct claims User Acceptance Testing (UAT) on benefit configuration
• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Coordinate with various business units and departments in the development and delivery of training programs
• Develop, share, and incorporate organizational best practices into business applications
• Diagnose problems and identify opportunities for process redesign and improvement
• Formulate and update departmental policies and procedures
• Serve as the subject matter expert on the assigned function product to ensure operational performance.

Required Skills:   

Bachelor’s degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Advanced knowledge of Microsoft Applications, including Excel and Access preferred.

Good to have skills:

• Experience in Amisys claims or claims configuration
• Experience in Benefits Configuration
• Ability to read and interpret clinical/state policies & bulletins for limitations, covered & not covered services
• Claims research, root cause analysis, and issue resolution