Overview:
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family dental and vision plans for employers etc.
Title: Systems Analyst II
Work Location: Detroit MI 48226
Duration: 12 Months
Job Type: Contract
Work Type: Hybrid
Dept: PCR & HCR Units
Engagement Description:
-
This role will be responsible for the delivery of the client Policy Change Requests.
-
The work includes but is not limited to business requirement assessment detailed system analysis benefit designs and testing.
Top 3 Required Skills/Experience
-
Strong medical and facility claims background understanding of the billing process ICD codes procedure codes diagnosis codes.
-
Strong knowledge of medical claims benefits processing.
-
Detailed knowledge of medical dental vision and hearing benefits.
Required Skills/Experience
-
Excellent analytical and organizational skills including the ability to manage multiple concurrent assignments.
-
Ability to write clear and concise documentation that can be understood by others who may not have direct knowledge of the subject.
-
Microsoft Office skills (Word Excel Access).
-
Great interpersonal skills collaboration skills and a team spirit attitude.
-
Ability to take/follow direction work independently or within group as needed
Preferred Skills/Experience
-
NASCO 3270 Mainframe experience.
-
Working knowledge of identifying and implementing Medical Policy on NPS
-
BFM/BFAST benefit configuration experience analysis testing configuration documentation and all quality processes.
-
Working knowledge of SharePoint.
Education/Certifications Include:
TekWissen Group is an equal opportunity employer supporting workforce diversity.