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Remote QNXT Analyst

Company: Sentara Healthcare
Location: Richmond
Posted on: September 16, 2021

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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