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Mpower Plus Rezolve AI Group LTD

Healthcare System Analyst Payer Systems

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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.

Benefits

  • Dental Insurance