Senior Claims Analyst

University-Health-3; San Antonio (TX); Presencial; USD 60.000 - 75.000; Jornada completa

Descripción de la vacante

University-Health-3 is seeking a Claims Department resource to coordinate, analyze, and drive performance improvements across the department. The role involves identifying opportunities, documenting processes, researching best practices, and assisting owners to implement changes while monitoring impact.

Responsibilities include project coordination through data collection and analysis to boost efficiency, accuracy, and productivity, with interaction across CFHP departments to align systems and

Formación

• Five (5) years claims experience is required.
• Medicaid, Medicare and Commercial claims experience is required.
• Three (3) or more years’ experience project coordination in a managed care environment is preferred.
• Proficiency in Word, Excel, and PowerPoint is required.
• One to two (1-2) years supervisory experience preferred.

Responsabilidades

• Coordinate, analyze, and improve departmental performance in the Claims Department.
• Identify areas for improvement, document business processes, and research best practices.
• Compile information and assist process owners to implement change and monitor performance.
• Provide project coordination through research, data collection and analysis to increase operational efficiency, productivity and accuracy.
• Interact with other CFHP departments to ensure systems, processes and reports meet internal benchmarks.

Educación

High school diploma

Herramientas

Word

Excel

PowerPoint

Descripción del empleo

Acts as Claims Department resource to coordinate, analyze, and improve departmental performance. Identifies areas for improvement, documents business processes, researches best practices, compiles information and assists process owners to implement change and monitor performance. Responsible for providing project coordination through research, data collection and analysis to identify areas for increased operational efficiency, productivity and accuracy. Interacts with other CFHP departments. Helps ensure that systems, processes and reports enable the Claims Department to meet internal and external benchmarks.

EDUCATION/EXPERIENCE

High school diploma required. Five (5) years claims experience is required. One to two (1-2) years supervisory experience preferred. Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years’ experience project coordination in a managed care environment is preferred. Proficiency in Word, Excel, and Powerpoint, is required.