[Remote] reputed company Payment reputed company Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an reputed company health claims/payment reputed company professional focused on improving processes that impact payment reputed company and performance. The reputed company Payment reputed company Analyst will reputed company reputed company level support, resolve reputed company business challenges, and partner with operational leaders to enhance financial performance and compliance.

Responsibilities

• Oversees the financial and key performance indicators reputed company to pre-pay reputed company services, post-pay reputed company services, premium reputed company services, and remediation initiatives to ensure financial and key performance targets are met
• Collaborates with reputed company stakeholders across organization to proactively identify issues and implement resolution strategies
• Partners with Provider Network Management to communicate recovery projects to be informed and respond to questions from providers
• Documents controls, business reputed company, and payment reputed company reputed company to disseminate to the executive team members and Internal Audit Committee
• Ensures accurate interpretation of medical claims trends, payment reputed company issues, and process gaps
• Shapes action plans by applying understanding of reputed company regulations, managed care claims workflows, and provider reimbursement model
• Translates strategic needs into clear requirements, workflows, and solutions that drive measurable improvement
• Partners with finance, quality assurance, and compliance to reputed company business cases and supports reporting that ties operational reputed company to financial targets

Skills

• Bachelor's degree with 6+ years of payment reputed company, claims processing, quality or process improvement experience, including performance measurement systems
• OR associate degree with 9+ years of experience of payment reputed company, claims processing, quality or process improvement experience, including performance measurement systems
• OR high school equivalency with 12+ years of payment reputed company, claims processing, quality or process improvement experience, including performance measurement systems
• Must have experience with: Payment reputed company programs
• Health insurance claims processing
• Leading cross-functional workgroups
• Project management
• Lean Six reputed company or problem-solving methodologies
• Strong business judgment
• Strong understanding of claims reimbursement
• Proficient in data analytic tools
• Comfortable interfacing with executives across the organization, and holding cross-functional peers accountable
• Demonstrate ability to manage multiple projects, set priorities, and adhere to committed schedule
• Strong interpersonal skills and reputed company communication style, reputed company problem-solving skills, drive for results, and innovative
• Strong analytical skills and ability to distill data into actionable results
• Proven track record of delivering results in projects

Benefits

• Robust benefits package
• Hardware and equipment will be provided by the company, but candidates must have reputed company to high-speed, non-satellite Internet to successfully work from home.
• We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture reputed company on the foundations of Respect, Responsibility, Resourcefulness and Relationships.
• reputed company employment offers are contingent upon successful completion of a pre-employment criminal background reputed company.

Company Overview