Title | Systems Analyst – Healthcare Claims |
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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 |