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Claims Automation and System Enhancement Analyst
2 months ago
The Claims Automation and System Enhancement Analyst will be an integral part of the Operations Claims team, focusing on the development of innovative solutions that utilize claims automation and system enhancements. This role aims to facilitate quicker and more precise execution of repetitive tasks within production environments.
Key Responsibilities:
- Collaborate with the RPA team and various business units to define requirements, analyze data, and conduct process reviews.
- Create and optimize workflows while providing recommendations for improvement.
- Maintain comprehensive documentation related to projects and departmental initiatives, adhering to program standards.
- Perform root cause analysis to enhance accuracy and deliver return on investment.
- Engage in an Agile environment to gather, document, and develop Business Requirements, converting them into System Requirements in collaboration with the RPA team.
- Present updates and status reports on program initiatives, addressing any obstacles to success with OPS Leadership.
- Execute additional duties as assigned.
Qualifications:
Education:
Bachelor's Degree or equivalent professional healthcare experience preferred.
Experience:
Minimum of 2 years in medical claims processing or system configuration is required. Experience with FACETS is mandatory, while data analysis experience is preferred.
Essential Skills:
Demonstrated customer focus with experience in collaborating with business users to resolve issues and develop requirements for process enhancements. Proven ability to lead change through people, processes, and technology. Comfortable working both independently and within a team, with a strong sense of accuracy and urgency in task completion. Excellent organizational and communication skills, with the ability to manage multiple assignments autonomously.
Technical Proficiency:
Proficient in Microsoft Office Suite, including Excel, Outlook, and Word. Familiarity with Visio, Teams, Planner, and PowerPoint is preferred.
About MVP Health Care:
MVP Health Care is a recognized not-for-profit health insurer dedicated to serving members in New York and Vermont. We are committed to enhancing the well-being of our members and the communities we serve, ensuring that health insurance is convenient, supportive, and personalized. Our diverse workforce of over 1,700 employees is passionate about making a positive impact on health and wellness.
Compensation and Benefits:
MVP Health Care offers competitive compensation and a comprehensive benefits package, including:
- Generous paid time off, including sick leave and holidays.
- 401(k) employer matching and profit-sharing programs.
- Affordable health benefits, including medical, dental, and vision coverage.
- Life insurance and disability coverage.
- Tuition reimbursement for approved courses and programs.
- A robust employee Well-Being program.
MVP Health Care is an Affirmative Action/Equal Employment Opportunity employer, committed to diversity and inclusion in the workplace.
