Claims Configuration Technical Analyst

22 hours ago


Plano, United States NTT DATA Americas, Inc Full time

The Claims Systems Technical Analyst serves as a facilitation and support role to help improve the way our claims systems function and integrate with other systems. This role will bring to the table a depth and breadth of knowledge of claims systems including integration points, data and reporting, and configuration management. The role will work closely with the Operations and Technical teams to identify and document requirements and design and develop solutions to support those requirements.

Our team is remote, and we re dedicated to creating an ambitious and diverse organization to represent and support the patients we serve.

Finally it's important to us that everyone on our team be prepared to work with and supportive of a variety of backgrounds, roles, and needs. Our organization is built on trust and mutual respect, we know that it's only together that we achieve truly great things.

Responsibilities

  • Work closely with the Curative Tech team to provide guidance and support for development activities

  • Document business requirements for system configuration and integration activities

  • Support Data and Analytics teams with navigating complex data warehouse structures to create key reports and dashboards

  • Support Operations and Configuration teams with troubleshooting, research, and analysis of claims system functionality and suggest improvements

Please reach out if this describes your experience

  • 7+ years of working within a healthcare payer environment in Operations or Technology

  • 5+ years of experience working hands-on with HealthRules Payer required, including knowledge of HR Connector APIs and the HR Data Warehouse schema

  • Demonstrated expertise with technical tools such as Postman, SOAPUI, SQL Querying tools, Oracle databases, REST and SOAP APIs

  • Deep knowledge of healthcare claims processing and payer operations

  • Working knowledge of HIPAA EDI transactions (837, 835, 834, etc.)

  • Demonstrated expertise with common tools such as MS Word, MS Excel

  • Knowledge of Robotic Processing Automation (RPA) tools in a healthcare payer environment is a plus

  • Scripting experience (e.g. Python) is a plus

About NTT DATA

NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at .

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
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