A company is looking for a Claims Management Analyst III.
Key Responsibilities
Manage EDI trading partners and ensure accurate information exchange
Provide Subject Matter Expertise on eBusiness EDI transactions and manage trading partner performance
Analyze existing processes and provide recommendations for enhancements and cost savings
Required Qualifications
Bachelor's degree or equivalent relevant work experience
Minimum of five years of healthcare operations experience in insurance or managed care
Advanced knowledge of healthcare EDI files
Strong computer skills and data analysis capabilities
Working knowledge of managed care and health claims processing
Management Analyst • Ontario, California, United States