Claims Process & Analytics Specialist

Johns Hopkins Medicine; Maryland; In loco; USD 40.000 - 66.000; Tempo pieno

Descrizione del lavoro

Johns Hopkins Medicine seeks a Claims Business Analyst to investigate complex claims processing and payment issues across Medicaid, Commercial, and managed care lines. You will analyze claims data, identify root causes, and implement corrective actions, working with Provider Relations, Systems Configuration, and Adjustments teams to ensure accurate adjudication and payments.

The role requires strong analytical skills, knowledge of claims systems, and the ability to communicate findings to

Competenze

• Bachelor's Degree in business administration, information technology, or a related field.
• Minimum 2 years of experience in healthcare or related field.
• One year of relevant education may substitute for one year of required work experience.

Mansioni

• Investigate complex claims processing and payment issues.
• Collaborate with Provider Relations, Systems Configuration, and Adjustments teams.
• Develop corrective actions and support system configuration changes.

Conoscenze

Analytical skills

Communication skills

Formazione

Bachelor's Degree in business administration, information technology, or a related field

Descrizione del lavoro

Johns Hopkins Medicine seeks a Claims Business Analyst to investigate complex claims processing and payment issues across Medicaid, Commercial, and managed care lines. You will analyze claims data, identify root causes, and implement corrective actions, working with Provider Relations, Systems Configuration, and Adjustments teams to ensure accurate adjudication and payments.

The role requires strong analytical skills, knowledge of claims systems, and the ability to communicate findings to