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Job Information
Job title
Business Systems Analyst
Company
Robert Half Technology
Wage
Not specified
Location
United States, Georgia, Atlanta
Employment type
Temporary
Education
Not Specified
Year Experience
4 - 5 Years of Practical Experience
Travel
Not Specified
Published on
7/16/2008
Description
The Business System Analyst will provide operational reporting support and analysis for claims as relates to Tapestry and the MHC runout. This person will work along with the Directory of Business Systems Admin. and the Claims Automation and EDI Coordinator to provide system support for the existing claims system. This includes support for the daily processing of check from tech Tapestry and all EDI transactions, as well as business systems administration for the ancillary claim systems interfacing with Tapestry. The Business Systems Analyst is expected to provide analysis, recommendations, and solutions to claim processing issues and increased opportunities for claim processing automation.
Create monitor, and update claim operational reports as related to Tapestry claim processing, working with MIPA, TSPMG, IT and other analytical areas to provide accurate and timely analysis of claim processing
Provide business systems support for Macess, Winstrat/EasyGroup, Code Review, and other applicable claims related systems
Support MHC user during runout period, included related reporting
Support EDI processing and related transactions as requested by EDI Coordinator
Provide analysis of auto-adjudication opportunities related to Tapestry processing
Provide support for systems upgrades and enhancements
All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada.df-tc
Experience/Skills
Knowledge of EPIC claims processing systems
Knowledge of Clarity Database is a huge benefit
Other desired skills:
Business Systems Analyst
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