Systems Analyst II
2 days ago
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.
- 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.
- 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.
- Bachelor's Degree in a related field preferred.
- Medical Billing/Coding preferred.
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