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Hourly Rate: $26 W2; $30 CTC/1099
Job Description:
Position Overview:
This position will serve as a member of the Business Technology Relationship Management team. The unit is responsible for managing relationship between the DHB program/functional areas and the Technology that supports the business and supports all of the division.
Job Specific Responsibilities
Review of various claims reports to perform in-depth claim analysis, validation of system changes, and review of edits/audits in order to make recommendations to maintain the integrity of the reprocessing.
Provide incident monitoring, problem ticket, incident creation and troubleshooting.
Defect Resolution
Requesting System Enhancements
Preferred Knowledge, Skills, and Abilities:
Experience working with NC Medicaid
Experience with NCTracks
Experience with gathering requirements
Experience working with claims adjudication/reprocessing
An understanding of claim edits and audits
Strong understanding of health care strategy, operations, technology, and regulatory requirements
Demonstrated ability to work independently in a fast-paced environment with concurrent deadlines
Excellent communication, negotiation, conflict resolution and persuasion abilities
Strong organizational, time management, communication, and detail-oriented skills
Highly proficient with Microsoft Outlook, Word and Excel
Required Skills:
- Experience working with NC Medicaid (5 years)
- Experience with NCTracks (5 years)
- Experience working with claims adjudication/reprocessing (5 years)
- Experience with gathering requirements (5 years)
- An understanding of claim edits and audits (5 years)
- Strong organizational, time management, communication, and detail-oriented skills (5 years)
- Excellent communication, negotiation, conflict resolution and persuasion abilities (5 years)
- Strong understanding of health care strategy, operations, technology, and regulatory requirements (5 years)
Medicaid Business Analyst Medicaid Experience, Gathering Requirements, Claim Edits and Audits
Higher Competitive Rates will be considered for consultants with advanced skill set
Corp to Corp Resumes are welcome
Consultants may need a criminal background check
Chandra Technologies, Inc.
