Highlights
The ideal candidate will monitor regulatory and policy changes, analyze claims data to identify trends and root causes, develop solutions that improve payment accuracy and operational efficiency, and deliver meaningful reports and dashboards that provide stakeholders with insights into claim performance, defect resolution, and process improvement opportunities. This role is responsible for configuring MA benefit parameters in the claims platform to ensure compliance with CMS requirements, conducting detailed claim reviews to validate reimbursement accuracy, and identifying and resolving system defects in partnership with IT, NASCO, and vendor teams.
Numbers & Facts
| Location | Troy, MI |
| Industry | Staffing/Employment Agencies |
| Salary | $35–$43 Per Hour |
| Company Size | 2,500 to 4,999 employees |
| Year Founded | 1978 |
| Website | https://epitec.com/ |
Description
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Systems Analyst I
By / September 2, 2026
- Location: Detroit, Michigan
- Type: Contract
- Job #106556
Systems Analyst
Rate: $35-$43/hour with Benefits
Hybrid - Required to come into the office 2 times per week in Detroit, MI
Engagement Description - We are seeking a Medicare Advantage (MA) Claims Analyst to support the configuration, accuracy, and ongoing optimization of claims processing operations. This role is responsible for configuring MA benefit parameters in the claims platform to ensure compliance with CMS requirements, conducting detailed claim reviews to validate reimbursement accuracy, and identifying and resolving system defects in partnership with IT, NASCO, and vendor teams. The ideal candidate will monitor regulatory and policy changes, analyze claims data to identify trends and root causes, develop solutions that improve payment accuracy and operational efficiency, and deliver meaningful reports and dashboards that provide stakeholders with insights into claim performance, defect resolution, and process improvement opportunities.
Top 3 Required Skills/Experience -
- Strong analytical and problem-solving skills
- Ability to complete medical claims analysis
- Experience in system testing
Required Skills/Experience - The rest of the required skills/experience. Include:
- Ability to quickly learn new system applications
- Organizational skills and ability to prioritize; must be able to work on multiple tasks with varying timelines
- Strong understanding of medical benefit application
Preferred Skills/Experience - Optional but preferred skills/experience. Include:
- Knowledge of CMS regulations
Education/Certifications - Include:
- Bachelor's degree in related field is preferred
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Benefits
Professional Development, 401K, Employee Referral Program, Life Insurance
About Company
Epitec is a leading staffing and recruiting services company with a mission to make staffing personal. We go beyond traditional hiring by truly understanding our candidates and matching them with the perfect opportunities. We offer competitive compensation, career growth, and support throughout the entire process. Working with top Fortune 500 companies, we are recognized for our excellence with numerous awards, including Best & Brightest and diversity recognitions. At Epitec, we're redefining the future of employment.