Healthcare System Analyst Payer Systems
Summary
Analyze and improve healthcare payer systems, focusing on eligibility, claims, and provider pricing using SQL, .NET, and Facets platform expertise.
Job Description: 1 – A technical system analyst with good understanding of the healthcare process flow – Eligibility & Enrollment – Provider contract pricing – Claims adjudication – Billing – Appeals and Grievances 2 – Technical understanding of Sql and Dot net – full stack preferable 3 – knowledge of Facets platform from a developer point of view – i.e. data models, architecture, and process flow 4 – Good experience in working with Business and technical teams to prepare system requirements an…