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Business Analyst

4 months ago

Detroit, United States Tekwissen Full time
Overview:

Tek Wissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Title: Business Analyst

Work Location: Detroit MI 48226

Duration: 12 Months

Job Type: Contract

Work Type: Onsite

Job Description

Dept: MA System Liaison

Engagement Description:

• The position is being requested to temporarily back-fill an open position and will support the day-to-day activity of the Medicare Advantage System Liaison Team team during the NASCO transition. Primary responsibilities will be:
o To review minor system issues and identify solutions to ensure claims processing
o To review and understand system defect submissions and work effectively with a vendor to resolve any issues
o Review mailbox submissions for triage to correct areas responsible for corrections and updates
o Assist with analyzation of any other system applications

Top 3 Required Skills/Experience -

• Basic knowledge of CMS rules and regulations for claims and enrollment with the ability to research regulations as needed
• Excellent analytical and problem-solving skills to identify, evaluate, recommend, and implement changes to processes or procedures to address problems and improve departmental effectiveness.
• Excellent verbal, written communication, and interpersonal skills.

Required Skills/Experience - The rest of the required skills/experience. Include:

• Ability to work independently and exhibit self-motivation.
• Proficient in Microsoft Office Suites.
• Ability to develop and maintain effective working relationships.

Preferred Skills/Experience - Optional but preferred skills/experience. Include:

• Claims background in a Medicare Advantage Organization is preferred.
• Previous experience with Medicare Advantage benefits is preferred.

Education/Certifications - Include:

• Bachelor's Degree in a related field is preferred.

TekWissen® Group is an equal opportunity employer supporting workforce diversity.