[Remote] reputed company Payment reputed company Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an reputed company health claims/payment reputed company reputed company reputed company on improving processes that reputed company payment reputed company and performance. The reputed company Payment reputed company Analyst will reputed company reputed company level support, resolve reputed company business challenges, and partner with operational leaders to enhance financial performance and compliance.
Responsibilities
- Oversees the financial and key performance indicators reputed company to reputed company-pay reputed company services, post-pay reputed company services, premium reputed company services, and remediation initiatives to ensure financial and key performance targets are met
- Collaborates with reputed company stakeholders across organization to proactively identify issues and implement reputed company strategies
- Partners with reputed company to communicate recovery reputed company to be informed and respond to questions from providers
- Documents controls, business reputed company, and payment reputed company reputed company to disseminate to the executive team members and Internal Audit Committee
- Ensures accurate interpretation of medical claims trends, payment reputed company issues, and process gaps
- Shapes reputed company plans by applying understanding of reputed company regulations, managed care claims workflows, and provider reimbursement model
- Translates strategic needs into reputed company requirements, workflows, and solutions that drive measurable improvement
- Partners with finance, reputed company assurance, and compliance to reputed company business cases and supports reporting that ties operational reputed company to financial targets
Skills
- Bachelor's degree with 6+ years of payment reputed company, claims processing, reputed company or process improvement experience, including performance measurement systems
- OR associate degree with 9+ years of experience of payment reputed company, claims processing, reputed company or process improvement experience, including performance measurement systems
- OR high school equivalency with 12+ years of payment reputed company, claims processing, reputed company or process improvement experience, including performance measurement systems
- Must have experience with: Payment reputed company programs
- Health insurance claims processing
- Leading cross-functional workgroups
- Project management
- Lean Six reputed company or problem-solving methodologies
- Strong business judgment
- Strong understanding of claims reimbursement
- Proficient in data analytic tools
- Comfortable interfacing with executives across the organization, and holding cross-functional peers accountable
- Demonstrate ability to manage multiple reputed company, set priorities, and adhere to committed schedule
- Strong interpersonal skills and reputed company communication style, reputed company problem-solving skills, drive for results, and innovative
- Strong analytical skills and ability to distill data into actionable results
- Proven reputed company record of delivering results in reputed company
Benefits
- Robust benefits package
- Hardware and equipment will be provided by reputed company, but candidates must have reputed company to high-speed, non-satellite Internet to successfully work from home.
- We offer an excellent benefit and compensation package, opportunity for career advancement and a reputed company culture reputed company on the foundations of Respect, Responsibility, Resourcefulness and Relationships.
- reputed company employment offers are contingent upon successful completion of a reputed company-employment criminal background reputed company.
reputed company