Job id NC-693573 (93691102)
Location: Raleigh NC DHHS-HB
Duration: 12 months
Skills:
Experience working with NC Medicaid Required 3 Years
Experience with NCTracks Required 3 Years
Experience with gathering requirements Required 3 Years
An understanding of claim edits and audits Required 3 Years
Strong understanding of health care strategy, operations, technology, and regulatory requirements Required 3 Years
Highly proficient with Microsoft Outlook, Word and Excel Required 3 Years
NC DHHS is seeking a Business Systems Analyst. This position will serve as a member of the Business Technology Relationship Management team.
This position will serve as a member of the Business Technology Relationship Management team. The unit is responsible for managing relationship between the DHB program/functional areas and the Technology that supports the business and supports all of the division.
Job Specific Responsibilities
– Review of various claims reports to perform in-depth claim analysis, validation of system changes, and review of edits/audits in order to make recommendations to maintain the integrity of the reprocessing.
– Provide incident monitoring, problem ticket, incident creation and troubleshooting.
– Defect Resolution
– Requesting System Enhancements
Preferred Knowledge, Skills, and Abilities:
– Experience working with NC Medicaid
– Experience with NCTracks
– Experience with gathering requirements
– Experience working with claims adjudication/reprocessing
– An understanding of claim edits and audits
– Strong understanding of health care strategy, operations, technology, and regulatory requirements
– Demonstrated ability to work independently in a fast-paced environment with concurrent deadlines
– Excellent communication, negotiation, conflict resolution and persuasion abilities
– Strong organizational, time management, communication, and detail-oriented skills
– Highly proficient with Microsoft Outlook, Word and Excel
