This position is a fulltime, direct opportunity with our Healthcare client who is offering a generous salary and benefits package. Ideal work location is Westbury NY (Long Island) with a hybrid schedule (3 days onsite). Alternatively, this position can be staffed remotely for candidates that reside in one of the following states: CO, CT, FL, GA, IL, MA, MD, MI, MN, MO, NC, NJ, NY, OH, PA, SC, TN, TX, WA.
- Bachelors degree in IT, Healthcare Administration and/or progressive experience.
- 4+ years of BA experience in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration.
- Healthcare industry knowledge
- Familiar with claims administration systems and terminology - working knowledge of Eligibility and Enrollments, Administration of Plans, Benefits, Claims, Accumulators, and Provider Payments
- Experience with SFTP, EDI X12 transactions 834, 837, 270/1 is a plus.
- Communicate effectively with internal and external stakeholders
- Strong attention to detail and perform consistent work product validation/QA
- Strong analytical skills
- Knowledge of MS SQL Server Managed Studio ability to create SQL queries that includes but not limited to extract data, update and insert functions
- Proficient in Microsoft Office including Outlook, Excel, Visio, PowerPoint and Word.
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