Healthcare Business Application Expert Consultant

posted on October 7, 2020

Job Description

Location: Durham. NC

Duration: 6 months

Responsibilities:

  • The Business Application Expert provides expert application knowledge that is global for a business area rather than being single process focused
  • These applications support core business processes such as claims adjudication, membership enrollment, financial processing, etc.
  • FACETS is the core processing system
  • The incumbent is sought when there is application considerations needed due to problems, projects, or for overall assessments
  • This role’s oversight and strategic thinking skills ensures that comprehensive, efficient solutions are being developed and implemented without negatively impacting the current operating environment and systems
  • 5 years of application experience to include Claims & Membership supporting ASO and Fully Insured Business, etc.
    Highly preferred knowledge also includes product configuration.
    In lieu of a degree, 7 years application experience in the hiring area will be considered.
    Excellent PC skills (e.g. MS Word, Excel, Access, and PowerPoint)
  • Heavy claims analysis
  • Heavy in member billing
  • Does not need configuration (will identify the issue and send it along to be fixed)
  • SQL knowledge a plus

 

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