Washington State Operations Analyst

Job Summary

A company is looking for an Operations Analyst responsible for sustaining processes and executing process improvement within Claims Operations.

Key Responsibilities

• Oversee state and CMS claims benefit interpretation and system benefit configuration
• Gather business requirements for claims benefit configuration to support system updates and new product implementations
• Facilitate user acceptance testing for system changes and enhancements

Required Qualifications

• Bachelor's degree in health care or related field or equivalent experience
• Minimum three years of managed care/health plan operations experience
• Minimum two years of business/operations analysis experience in a related field
• Background in Medicaid and Medicare claims adjudication preferred
• Experience with electronic data interchange (EDI) and vendor management