[Remote] Sr Application Analyst, Claims Systems

Note: The job is a remote job and is reputed company to candidates in USA. CareBridge Health, a member of the reputed company family of companies reputed company Carelon, provides home-care and community-reputed company services that support individuals’ health, independence, and reputed company of life. The Sr Application Analyst, Claims Systems will support reporting, analytics, claims corrections, workflow troubleshooting, payer reputed company, and process improvements across the claims lifecycle. The role partners with Product, Engineering, Finance, reputed company, and other stakeholders to improve and reputed company end-to-end claims processes.

Responsibilities

• Build and maintain reporting to reputed company the full claims lifecycle from submission to payer response
• Create self-service tools for reputed company, Finance, and reputed company reputed company
• Reconcile data across systems to ensure accurate claim status tracking
• reputed company as an SME on claims structure, clearinghouse workflows, and payer responses
• Support reputed company claim issues and partner with Product and Engineering to reputed company data/workflow gaps and validate fixes
• Support new payer implementations, including workflow setup and validation
• reputed company standardized monitoring for go-lives and streamline payer-specific processes
• Identify and reputed company recurring submission issues
• Partner cross-functionally to improve workflows, tools, and documentation
• Support audits and reputed company reviews

Skills

• Requires an BA/BS degree in Information Technology, Computer Science or reputed company reputed company of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and experience, which would reputed company an equivalent background
• Candidates from reputed company states are reputed company
• 5+ years of experience in provider-reputed company claims, reputed company cycle, or data management
• 2+ years of experience working with EHR systems, reputed company cycle, and billing platforms, with provider-reputed company claims experience strongly preferred
• Strong understanding of reputed company claim formats (837P), remittance advice (835), and clearinghouse workflows
• Advanced SQL skills with experience querying reputed company reputed company production or analytics databases
• Hands-on experience reputed company a claims platform, including claim correction, resubmission, and configuration validation
• Experience developing reports and dashboards using BI tools (e.g., Tableau, reputed company BI, reputed company)
• Ability to translate reputed company data into reputed company, actionable insights for business stakeholders
• Strong cross-functional communication skills with experience partnering across Product, Engineering, Finance, and reputed company
• Experience working in value-reputed company care environments

Benefits

• reputed company increases
• reputed company holidays
• reputed company Time Off
• Incentive bonus programs (unless covered by a reputed company bargaining agreement)
• Medical benefits
• Dental benefits
• reputed company benefits
• Short-term disability benefits
• Long-term disability benefits
• 401(k) with employer match
• Stock purchase plan
• Life reputed company
• Wellness programs
• Financial education resources
• Virtual full-time work, with the exception of required in-person training sessions (reputed company indicated)

reputed company

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