Title Systems Analyst – Healthcare Claims
Salary DOE
Location Chicago, IL
Job Information

Systems Analyst Senior with knowledge of the NASCO Processing System.

Duties will include:

• Perform analysis of multiple areas within the NASCO Processing System (NPS); results of analysis will be documented in detail and shared with others for approval

• Participate and contribute to requirements determination sessions

• Ensures project technical members follow the QR processes, policies, procedures and standards established by the client, a major health insurance company

• Perform quality reviews and obtain necessary approval of documentation from appropriate customers, team members, leadership, and others

• Prepare and monitor progress on requests for systems changes (CSR) based on approved requirements

• Direct other team members through systems development phases – requirements, analysis, design, test preparation, testing, implementation, and post-implementation warranty

• Develop business/technical requirements, test plans and test data

• Coordinate test execution activities with other team members (internal and external)

• Take the lead in identifying and resolving issues

• Oversee the systems development process employed by the team

• Develop work plan activities using Microsoft Project

• Responsible for the day-to-day (technical) execution of the project delivery including requirements validation, design review, test planning, testing, operational preparations and implementation

• Prepare detailed status reporting as well as attending and participating in project meetings

Required Skills/Qualifications:

• Hands-on prior project experience in NASCO Claims Processing Systems and benefit file is a plus.

• Knowledge of health insurance systems preferred

• Minimum of 5-7 years of health care payer experience with some knowledge of claims processing is a plus

• Previous experience working on medium-sized software development projects with 5-10 team members

• Previous experience with systems and application development

• Previous experience preparing written requirements, test plans, and other project deliverables

• Previous experience executing test plans, test strategies, defect tracking, and work plans

• Experience using formal project delivery methodology

• Demonstrated excellent written and oral communication skills

• High proficiency with Microsoft Office applications

• Previous experience in health care claims processing is a plus

• Experience leading small to medium-sized project teams

• Previous experience with test data preparation – 837 transactions is a plus

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