Business Systems Analyst-Claims

• Critical Thinking skills
• Effective Time Management
• Expert Facets claims processing and configuration knowledge
• Extensive medical coding and billing
• Moderate clinical edit knowledge
• Prior Optum CES or other clinical edit vendor knowledge
• Problem Solving skills

• Certified professional coder

Job Summary:

• Under minimal supervision, formulates and defines systems scope and objectives through research and fact-finding, combined with an understanding of applicable business systems and industry requirements. 
• With this knowledge, develops or modifies moderately-sized information systems. Includes analysis of business and user needs, documenting requirements, and revising existing system logic issues as necessary. 
• Considers the business implications of the application of technology to the current business environment. 
• Assists and advises less-experienced Business Systems Analysts. 
• Competent to work in some phases of systems analysis, but may require guidance in others.