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Mpower Plus Rezolve AI Group LTD

Healthcare System Analyst Payer Systems

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What they do

A Systems Analyst helps businesses and organizations to plan and build computer systems. Reviews the information processing needs of the organization, plans and sets up computer networks and software, and tests systems for accuracy, efficiency and ease of use.

$105,061 / year median in Ohio

-2% projected decline

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Job Description

Role:
Healthcare System Analyst•
Payer Systems Location:
2-Woodland Hills, CA/4-Mason, Ohio (Onsite)
Job Type:
FTE/Contract-W2
Job Description:
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.