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Bill Review Systems Analyst
Paradigm · Tampa, FL, USA; United States
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Other (Adjacent or hard to classify.)
posted
52d ago
location
Tampa, FL, USA; United States
languages
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> description
We are seeking a full-time, remote Bill Review Systems Analyst. The Bill Review Systems Analyst is responsible for analyzing Bill Review operational processes to identify and implement changes to improve performance on key performance indicators including productivity, reliability, quality, and efficiency.
The schedule for this position is Monday - Friday, 8 AM to 5 PM Central Time. This position may require travel 1-2 times per year.
Responsibilities include (but are not limited to):
Serve as system configuration subject matter expert: understand, document, and be able to explain how the bill review system applies rules and settings to process bills.
Work closely with Bill Review leaders to implement any changes to bill review processes including editing of rules and configuration / reconfiguration of systems
Perform data gathering, root cause analysis and performance trending in order to develop appropriate process control changes
Prepare communication plans regarding process re-engineering for multiple stakeholders
Inform respective teams on process improvement and re-engineering strategies
Coordinate internal compliance auditing, monitoring and review activities in conjunction with the Clinical Bill Review department
Provide testing and system support in relation to data reporting processes and requirements
Update and maintain documentation on system configuration as changes are implemented
Assist Project Managers and Program Managers in strategic projects and key initiatives
Identify and resolve Company, State/NCCI Reporting, and/or client data issues, including with vendors as applicable
Requirements:
Bachelor's Degree in appropriate field of study or equivalent work experience
5+ years’ experience in process/systems analysis, engineering, and/or process improvement including executing at least two major process creations or transformations
5+ year’s experience generating and analyzing reports to monitor productivity, throughput, and/or other operational KPIs
Proven working experience in project and change management
Excellent client-facing and internal communication skills
Excellent written and verbal communication skills
Solid organizational skills including attention to detail and multitasking skills
Strong working knowledge of Microsoft Office and Visio
3+ Years’ experience working in bill/claims processing systems in the Workers Compensation industry across multiple jurisdictions.