NASCO Claims Systems Analyst - Detroit, MI

Job Responsibilities

Engagement Description –

Responsible for the delivery of major health care payer National Health Care Reform benefit policy changes. The work includes but is not limited to business requirement assessment, detailed system analysis, benefit designs and claims testing.

Responsible for implementing benefit changes for multiple customers, working in the claims benefits system to identify and document system changes, claims testing and validation of system enhancements and implementation of changes.

Analysts must have a working knowledge of the business area that they support. They need a solid understanding of the client's existing business processes, the key drivers and measures of success and the short- and long-term direction of their business and technology.

Top 3 Required Skills/Experience –

• NASCO System experience 2-3 years
• Strong knowledge of benefit file and claims testing on NASCO
• Strong benefit file system analysis skills, ability to create test cases based on system requirements and experience writing benefit file CSRs

• Ability to read and interpret business documents (BDD's, SER's & PCR's)
• Working knowledge of NASCO, BFAST, BFM and other NASCO application tools
• Demonstrated excellent written and oral communication skills.
• Knowledge of Medical insurance claims processing
• Ability to perform as a self-starter, with motivation to be accountable and consistently produce high quality results
• Proficiency with MS Office: Project , Word, Excel, Power Point – 3 Years
• Strong organizational and follow-through skills, and particularly strong attention to detail.
• Ability to take/follow direction and work independently
• Demonstrated flexibility, self-discipline and ability to work independently, as well as within a group.

• Demonstrated experience in major health care payer Claims, Benefits or projects
• Proficient in BFAST/Benefit File
• Proficient with Sharepoint
• 3 years of healthcare system experience preferred

• Bachelor's degree in related field preferred.
• 3 years of relevant technical work experience required.

Harmandeep

Digital Technology Solutions (DTS)