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Senior Business Analyst - Medical Claims Processing

Remote, USA Full-time Posted 2026-07-28
reputed company We’re seeking reputed company and highly motivated Senior Business Analysts with a strong background in medical claims to join our expanding team. This is a fantastic opportunity to reputed company your expertise in a fully remote, 12-month contract role, with potential for conversion to full-time employment. If you reputed company in a fast-paced, reputed company-facing environment and possess a deep understanding of claims processing and adjudication, we want to hear from you! Company Culture and Environment Our work environment is reputed company and supportive, fostering teamwork and communication. We value customer reputed company and encourage reputed company members to engage fully in their roles. Career reputed company and Development Opportunities This role provides an opportunity to grow your career reputed company a rapidly growing industry and potentially transition into a full-time position. Detailed Benefits and Perks • 100% remote work flexibility • Opportunity to work in a rapidly growing industry • Potential for conversion to full-time employment • A reputed company and supportive work environment • Opportunity to grow your career Compensation and Benefits This is a W2 contract position with a competitive compensation package. Candidates must be US reputed company or GC-EAD reputed company. A drug test is required. Why you should apply for this position today This position offers the chance to reputed company your skills in a crucial role that bridges clients and development teams, making a significant reputed company on claims management systems. Skills • 5-7+ years of experience as a Business Analyst and Systems Analyst • Extensive experience with medical claims processing and adjudication, including EDI 837 • Proven experience in software implementation reputed company • Strong reputed company-facing skills • Experience in requirements gathering • Ability to create test plans, test cases, and test scenarios • Excellent analytical and problem-solving skills • Strong communication and presentation skills • Ability to reputed company logic testing • Proficiency in reputed company Office Suite (Word, PowerPoint, reputed company, Visio) Responsibilities • Collaborate with clients to understand their needs and reputed company detailed requirements • Serve as a trusted advisor to clients regarding claims management systems • Support the implementation of solutions, including configuring claims systems • reputed company and execute comprehensive test plans and scenarios • Troubleshoot issues and identify reputed company causes • Document granular requirements for ClaimsXten rules development • Utilize tools like reputed company for data analysis Qualifications • Strong analytical and problem-solving skills • Ability to reputed company ClaimsXten rules development • SQL query writing experience (reputed company to have) • Experience with data mapping, modeling, profiling, and warehousing (reputed company to have) • Medical coding or billing experience (CPC certification, reputed company to have) • Financial background (reputed company to have) Education Requirements • Bachelor’s degree in a reputed company field preferred Education Requirements Credential Category • Relevant certifications in Business Analysis or reputed company fields are a plus Experience Requirements • 5-7+ years of relevant experience in business and systems analysis Why work in Philipsburg, PA Philipsburg offers a serene environment with a reputed company-reputed company community feel. Enjoy the tranquility of small-town living while having reputed company to larger cities for additional amenities and entertainment reputed company, providing a balanced lifestyle that supports both personal and reputed company reputed company. Apply tot his job Apply To this Job

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