Systems Analyst II

2 days ago


Detroit, Michigan, United States Strategic Staffing Solutions Full time
Job Title: Systems Analyst II

Strategic Staffing Solutions is seeking a highly skilled Systems Analyst II to join our team. As a key member of our team, you will be responsible for delivering BCBSM Policy Change Requests.

Key Responsibilities:
  • Assess business requirements and conduct detailed system analysis to ensure seamless policy change implementation.
  • Design and test benefits to ensure compliance with regulatory requirements.
  • Collaborate with cross-functional teams to identify and implement medical policy changes.
Requirements:
  • Strong medical and facility claims background, with a deep understanding of billing processes, ICD codes, procedure codes, and diagnosis codes.
  • Excellent analytical and organizational skills, with the ability to manage multiple concurrent assignments.
  • Strong knowledge of medical claims benefits processing and detailed knowledge of medical, dental, vision, and hearing benefits.
  • Excellent communication and interpersonal skills, with the ability to write clear and concise documentation.
Preferred Skills:
  • NASCO 3270 Mainframe experience.
  • Working knowledge of identifying and implementing Medical Policy on NPS.
  • BFM/BFAST benefit configuration experience – analysis, testing, configuration, documentation, and all quality processes.
  • Working knowledge of SharePoint.
Education/Certifications:
  • Bachelor's Degree in a related field preferred.
  • Medical Billing/Coding preferred.


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