Healthcare Benefits Analyst

Reqroute, Inc; United States; Remote; USD 85,000 - 100,000; Full time

Job summary

A health care consulting firm is seeking a BRM/Benefit Analyst with experience in claims processing and client-facing communication skills. The role involves creating functional specifications, guiding teams, and supporting defect management in an agile environment. The ideal candidate will possess strong organizational, project management, and prioritization skills. This position offers a competitive salary range between $85,000 and $100,000 annually.

Qualifications

• Client-facing communication skills.
• Experience with Claims processing.
• Knowledge of PBM and Client Adjudication systems.

Responsibilities

• Create Functional specification documents based on Client Business requirements.
• Review XMLs and map documents between Source and target systems.
• Guide Configuration and Testing teams for Requirements clarification.

Skills

Excellent communication (Verbal and Written)

Collaboration skills

Superior organization

Project management

Prioritization skills

Job description

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• Excellent communication (Verbal and Written) and collaboration skills.
• Superior organization, project management, and prioritization skills.

Job Responsibilities:

BRM\Benefit Analyst - Health Care Knowledge (Claims processing) with PBM understanding - Benefits Understanding of the Client Business requirement and Client Adjudication system Client Facing communication skills Create Functional specification document based on the Client Business requirement Review XMLs and work on mapping documents between Source and target system Guiding the Configuration team and Testing team for Requirements clarification Support the Defect Management process Requirement management via SFDC tool. Requirements Analysis, plan build in Rxclaims, coordinating with coding and other support teams, offshore team coordination, defect triage, status reporting and risks/issue reporting.

Knowledge Management & Capability Development:

- Provide inputs to teams for training etc.

- Identify the training needs and conduct internal sessions to meet the same

- Partner with Cognizant academy to Create curriculum, assessments, training programs, courseware based on new service offerings / solutions etc.

- Update collateral on to the knowledge management repository

- Gain and cultivate domain expertise to provide best and optimized solution to customer

Prioritize, manage multiple assignments, and direct the work of others to meet deadlines.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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