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Healthcare System Analyst with Payer Systems

Summary

Analyzes healthcare payer systems, focusing on eligibility, claims, billing, and appeals using SQL, .NET, and the Facets platform.

Position: Healthcare System Analyst – Payer Systems Location: Woodland Hills, CA / Mason, OH Job Description: A technical system analyst with good understanding of the healthcare process flow – Eligibility & Enrollment – Provider contract pricing – Claims adjudication – Billing – Appeals and Grievances. Technical understanding of Sql and Dot net – full stack preferable. knowledge of Facets platform from a developer point of view – i.e. data models, architecture, and process flow. Good experienc…

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