Healthcare Systems Analyst

2 weeks ago


Detroit, Michigan, United States KYYBA Inc Full time

NOTE: This position offers a hybrid work model requiring one day onsite each week (flexibility for remote work may be available for the right candidate).

Key Responsibilities:

  • Oversee the execution of significant policy change requests for healthcare payers.
  • Conduct comprehensive assessments of business requirements, perform in-depth system analyses, and design benefit structures.
  • Possess a robust background in medical and facility claims, with a thorough understanding of the billing processes, including ICD codes, procedure codes, and diagnosis codes.
  • Demonstrate extensive knowledge in processing medical claims benefits.
  • Have detailed expertise in medical, dental, vision, and hearing benefits.
  • Experience with NASCO 3270 Mainframe systems.
  • Apply working knowledge in identifying and implementing medical policies on NPS.
  • Experience with BFM/BFAST benefit configuration, including analysis, testing, configuration, documentation, and adherence to quality processes.
  • Familiarity with SharePoint for project management and collaboration.

This role is essential for ensuring the effective delivery of healthcare services and requires a detail-oriented professional committed to excellence in the field.



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