Claims Management Analyst

Job Summary

A company is looking for a Claims Management Analyst III.

Key Responsibilities

• Manage EDI trading partners and ensure accurate information exchange
• Provide Subject Matter Expertise on eBusiness EDI transactions and manage trading partner performance
• Analyze existing processes and provide recommendations for enhancements and cost savings

Required Qualifications

• Bachelor's degree or equivalent relevant work experience
• Minimum of five years of healthcare operations experience in insurance or managed care
• Advanced knowledge of healthcare EDI files
• Strong computer skills and data analysis capabilities
• Working knowledge of managed care and health claims processing