Healthcare Systems Consultant

2 weeks ago


Detroit, Michigan, United States OpTech Full time

OpTech 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:

  1. Essential Skills/Experience: A robust background in medical and facility claims, along with a thorough understanding of the billing cycle, including ICD codes, procedure codes, and diagnosis codes.
  2. In-depth knowledge of medical claims benefits processing.
  3. Comprehensive understanding of medical, dental, vision, and hearing benefits.
  • Additional Skills/Experience: Exceptional analytical and organizational capabilities, with the ability to manage multiple tasks simultaneously.
  • Proficient in producing clear and concise documentation that is accessible to individuals without specialized knowledge.
  • Proficiency in Microsoft Office Suite (Word, Excel, Access).
  • Strong interpersonal and collaborative skills, fostering a team-oriented environment.
  • Ability to follow instructions and work autonomously or as part of a team as required.


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