Remote QNXT Analyst
Company: Sentara Healthcare
Location: Richmond
Posted on: September 16, 2021
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Job Description:
The Sr. Business Systems Analyst perform activities that provide
business solutions to complex organizational initiatives and should
demonstrate an extensive expertise in the claims platform and all
interfacing applications, both customized and packaged. This
individual should possess a high degree of expertise in the
business requirements that support reimbursement policies and
methodologies of the organization, as well as perform complex data
analysis and draw business conclusions for decision making. The
analyst will coordinate the maintenance of assigned Claims
Department systems for the program and play a key role in the
configuration and implementation of new markets and products. The
analyst should consider interdepartmental impact when recommending
and implementing solutions. Responsibilities include but are not
limited to claim analysis, development of configuration
requirements, ad- hoc reporting, testing and documentation. In
addition, the Sr. Business Systems Analyst will be responsible for
managing configuration projects, coaching junior analysts and for
preparing metric performance reports for the department. He or she
will work with peers in the department to establish realistic
project scope, project plans and timelines.
-HIGHLY preferred bachelor's degree
-Intermediate to advanced experience in writing SQL queries
- Prior Knowledge of Health Claims processing; Experience
configuring Health Claims Systems for Benefits, Contracts for
Government Programs (Medicaid and Medicare) and Commercial
Plans
-QNXT experience is preferred, but they can have FACETS with a
strong SQL background
-Strong analytical & problem-solving skills
-Ability to analyze complex issues and large amounts of data
Keywords: Sentara Healthcare, Richmond , Remote QNXT Analyst, Other , Richmond, Virginia
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