Medicare Claims Processing Professional Case Analyst

4 weeks ago


Ellenville, New York, United States MVP Health Care Full time
About the Role

MVP Health Care is seeking a skilled Professional, Claim Automation & System Enhancement Analyst to join our Operations Claims team. As a key member of our team, you will develop solutions leveraging claims automation and system enhancements to enable faster, more accurate execution of repetitive tasks in production environments.

Key Responsibilities
  • Develop and implement claims automation and system enhancements to improve process efficiency and accuracy
  • Collaborate with the RPA team and other business units to develop requirements, analyze data, and perform process review
  • Design and implement workflows to improve process efficiency and accuracy
  • Analyze data to identify areas for improvement and develop recommendations for process enhancements
  • Maintain detailed documentation of projects and departmental initiatives
Requirements
  • Bachelor's Degree or 4 years of professional healthcare experience
  • 2+ years of medical claims processing or system configuration experience
  • FACETS experience required
  • Data Analysis experience preferred
Preferred Skills
  • Customer focus and experience working with business users to solve issues and develop requirements
  • Ability to lead change through people, process, and technology
  • Excellent organizational and communication skills
  • Ability to manage multiple assignments with a high level of autonomy and independence
About MVP Health Care

MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. We are committed to providing competitive employee compensation and benefits packages, including a comprehensive benefits package that includes paid time away from work, competitive 401(k) employer matching, and low premium health benefits.



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