Systems Analyst II

Optech, LLC

Detroit, MI

JOB DETAILS
SKILLS
Artificial Intelligence (AI), Candidate Sourcing, Claims Processing, Focus Groups, Genetics, Mainframe Computer, Microsoft Office, Microsoft SharePoint, Requirements Management, State Laws and Regulations, Systems Analysis, Work From Home
LOCATION
Detroit, MI
POSTED
7 days ago

Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you"ll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/

Engagement Description -

Resource needed to support teams with project funded work with focus on new groups, new segments and large corporate projects.

Top 3 Required Skills/Experience -

  • Experience in NASCO 3270 mainframe including preparing/executing test claims for all lines of business
  • Strong professional and facility medical claims background
  • Ability to understand/interpret business documents and develop requirements for new/existing products

Additional Required Skills/Experience -

  • Knowledge of Medical, Benefit and Payment Policy
  • 3 years of relevant technical or business work experience required.
  • Microsoft office skills
  • Working knowledge of SharePoint
  • Self-disciplined with the flexibility to effectively manage multiple roles and responsibilities
  • Detailed understanding and experience of NASCO Classic group benefits and claims processing
  • Ability to work effectively with multiple internal/external customers at all levels

Preferred Skills/Experience -

  • Self-starter with the ability to read/interpret Benefit File code, GENO tables, Procedure & Diagnosis Files
  • Experience with queries
  • Experience with macros
  • Experience in CSR creation, updates & development

Education/Certifications - Include:

  • Bachelor"s degree in related field preferred.

By submitting your application, you acknowledge that recruiting technologies, including AI-assisted tools, may be used to support candidate evaluation, sourcing, matching, and communications.

OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws. https://www.optechus.com/eeo_self_identification/

About the Company

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Optech, LLC