Healthcare Systems Analyst
2 weeks ago
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.
-
Healthcare Systems Analyst
2 weeks ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS IS HIRING Position: Systems Analyst (Claims) Location: On-Site Required – 1 Day per week Duration: 12+ Months Role Type: W2 Contract Engagement Position Overview – The selected candidate will play a crucial role in executing benefit modifications for various clients. This position involves working within the...
-
Healthcare Systems Analyst II
2 weeks ago
Detroit, Michigan, United States KYYBA Inc Full timePosition: Systems Analyst IICompany: KYYBA IncRole Overview –This position entails overseeing the implementation of benefit modifications for various significant healthcare payer clients. The selected candidate will engage with the claims benefits system to ascertain and document the necessary requirements for system alterations, conduct claims testing,...
-
Business Systems Analyst
2 weeks ago
Detroit, Michigan, United States Piper Companies Full timePiper Companies is in search of a Business Systems Analyst to become part of a client that specializes in investment management and solutions. This role is a direct placement opportunity with a hybrid work model requiring on-site presence.Key Responsibilities:Collect and document requirements for various initiatives, with a primary focus on data.Develop...
-
Healthcare Systems Analyst
1 week ago
Detroit, Michigan, United States G-TECH Services Full timeJob OverviewThis position offers a hybrid work environment, requiring one day per week onsite attendance.The selected candidate will play a crucial role in implementing National and Hospital Health Care Reform benefit modifications. Responsibilities encompass business requirement evaluation, comprehensive system analysis, benefit design, as well as testing...
-
Healthcare Systems Consultant
2 weeks ago
Detroit, Michigan, United States OpTech Full timeOpTech is seeking a qualified candidate for the role of Systems Analyst II.RESPONSIBILITIES:Engagement Overview: This position entails overseeing the execution of Policy Change Requests for our client.The responsibilities encompass business requirement evaluation, comprehensive system analysis, benefit design, and testing processes.QUALIFICATIONS:Essential...
-
Healthcare Review Analyst
1 day ago
Detroit, Michigan, United States W3R Consulting Full timeJob Title – Healthcare Review AnalystDuration – 10 monthsLocation – RemotePay: $40.00/hr on W2Job Summary:We are seeking a skilled Healthcare Review Analyst to join our team at W3R Consulting. As a key member of our healthcare team, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient,...
-
Senior Systems Analyst
2 weeks ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeJob Opportunity at Strategic Staffing SolutionsJob Title: Senior Systems AnalystJob Summary:We are seeking a highly skilled Senior Systems Analyst to join our team at Strategic Staffing Solutions. As a Senior Systems Analyst, you will be responsible for implementing benefit changes for multiple insurance customers, working in the claims benefits system to...
-
Healthcare Review Analyst
5 days ago
Detroit, Michigan, United States W3R Consulting Full timeJob Title – Healthcare Review AnalystDuration – 10 monthsLocation – RemotePay: $40.00/hr on W2Job Summary:We are seeking a skilled Healthcare Review Analyst to join our team at W3R Consulting. As a key member of our healthcare team, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient,...
-
Systems Analyst
2 weeks ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS (S3) IS HIRING We are seeking a Systems Analyst for a contract role with one of our prominent clients. Position: Systems Analyst (Healthcare/NASCO) Location: Remote with occasional office presence Duration: 12+ Months Role Type: W2 Contract Engagement Role Overview The selected candidate will play a key role in...
-
System Analyst for Business Solutions
2 weeks ago
Detroit, Michigan, United States Digital Technology Solutions Full timePosition Overview: Business System AnalystWe are seeking a skilled Business System Analyst to enhance our operations at Digital Technology Solutions. The ideal candidate will possess:A minimum of 3 years of experience in a System or Business Analyst roleProficiency in facilitating Joint Application Design (JAD) sessions and gathering requirementsAt least 2...
-
Business Systems Analyst
2 weeks ago
Detroit, Michigan, United States Dice Full timeOverview:Dice is the premier career platform for technology professionals at all levels. Our client, IT Associates, Inc., is in search of a qualified candidate for the role of Business Systems Analyst.Position Summary:The Business Systems Analyst (BSA) is responsible for gathering, documenting, and managing the comprehensive list of requirements for various...
-
Systems Analyst II
4 weeks ago
Detroit, Michigan, United States Blue Cross Blue Shield of Michigan Full timeBlue Cross Blue Shield of Michigan (BCBSM) has an exciting Systems Analyst II opportunity available within the Information Technology Servicing and Operations Support group. About the Role In this Systems Analyst II role, you will plan, test, implement, and validate IT system solutions that improve business efficiency and productivity as well as support...
-
Financial Systems Analyst
2 weeks ago
Detroit, Michigan, United States VeeRteq Solutions Inc. Full timeJob OverviewPosition Title: Business AnalystLocation: RemoteContract Duration: 12 MonthsJob Type: ContractWork Arrangement: Hybrid (1-2 days per week)Department: ASC BillingRole Responsibilities:Conduct thorough analysis and review of both standard and intricate billing inquiries from ASC clientele across various group segments.Oversee the configuration and...
-
Systems Analyst II
5 days ago
Detroit, Michigan, United States Umanist Staffing LLC Full timeJob Description**Job Title:** Systems Analyst II**Job Type:** Contract**Work Type:** Hybrid**Department:** PCR HCR Units**ENGAGEMENT DESCRIPTION:**This role will be responsible for the delivery of the client's National and Hospital Health Care Reform benefit changes.The work includes but is not limited to business requirement assessment, detailed system...
-
System Analyst for Business Solutions
2 weeks ago
Detroit, Michigan, United States Digital Technology Solutions Full timeOpportunity for a Business System Analyst at Digital Technology SolutionsPossess at least 3 years of experience in a System or Business Analyst roleProficient in leading Joint Application Design (JAD) sessions and gathering requirementsHave a minimum of 2 years of experience in software testingAt least 1 year of experience with RDBMS and SQLExperience with...
-
Detroit, Michigan, United States Piper Companies Full timePiper Companies is in search of an Information Technology Systems Analyst to become a part of a client that specializes in investment solutions and management. This role is a direct placement opportunity with a hybrid work model requiring 3 days on-site.Key Responsibilities:Collect and document requirements for various initiatives, with a primary focus on...
-
Systems Analyst II
5 days ago
Detroit, Michigan, United States Umanist Staffing LLC Full timeJob OverviewUmanist Staffing LLC is seeking a highly skilled Systems Analyst II to join our team. As a key member of our organization, you will be responsible for delivering high-quality solutions to our clients.Key ResponsibilitiesBusiness Requirements Assessment: Conduct thorough analysis of business needs to identify opportunities for process improvement...
-
Lead Business Systems Analyst
2 weeks ago
Detroit, Michigan, United States IQVIA Full timePosition OverviewAt IQVIA, a prominent entity in the realm of advanced analytics, technology solutions, and clinical research services within the life sciences sector, we are enhancing our Global Technology and Operations (GTO) division. We are currently seeking a skilled Lead Business Systems Analyst with a strong background in PeopleSoft Financial...
-
Lead Business Systems Analyst
1 week ago
Detroit, Michigan, United States IQVIA Full timeJob DescriptionIQVIA, a prominent entity in advanced analytics, technology solutions, and clinical research services within the life sciences sector, is broadening its Global Technology and Operations (GTO) division. To strengthen our capabilities, the Finance and Procurement Group within the Enterprise Technology Services (ETS) team is in search of a...
-
Lead Business Systems Analyst
2 weeks ago
Detroit, Michigan, United States IQVIA Full timePosition OverviewIQVIA, a prominent entity in the realm of advanced analytics, technology solutions, and clinical research services within the life sciences sector, is broadening its Global Technology and Operations (GTO) division. To bolster our capabilities, the Finance and Procurement Group within the Enterprise Technology Services (ETS) team is in search...