Claims And Encounter Technical Analyst

North Carolina Department of Health and Human Services (DHHS)

North Carolina, US
Recruitment range: $67,122 - $95,639; grade range:...
Hybrid
Medicaid direct and encounter claims resolution
Business process understanding
Medicaid process understanding
The position will serve as a technology liaison for the Managed Care Business Operations team to assist with the resolution of Medicaid direct and encounter claims

Job Summary

  • The position will serve as a technology liaison for the Managed Care Business Operations team to assist with the resolution of Medicaid direct and encounter claims.
  • This position will be responsible for planning, organizing, requirements definition, change service request (CSR) generation, defect identification and management, training and testing.
  • The State of North Carolina offers excellent comprehensive benefits, including health insurance, retirement plans, paid leave, and paid parental leave.

Matching Summary

The position will serve as a technology liaison for the Managed Care Business Operations team to assist with the resolution of Medicaid direct and encounter claims.

Salary

Recruitment Range: $67,122 - $95,639; Grade Range: $67,122 - $117,465; Benefits: State benefits package

Skills & Requirements

Must-have

  • Medicaid direct and encounter claims resolution
  • Business process understanding
  • Medicaid process understanding
  • Technical expertise with Medicaid claims
  • Defect identification and management
  • Change service request generation

Nice-to-have

  • Federal managed care requirements knowledge
  • Business and technology issue resolution
  • Encounter Processing System oversight
  • Data validation for accuracy and efficiency

Key Requirements

  • Bachelor's degree in a related discipline with three years of programmatic experience
  • Equivalent combination of training and experience

Work Rights

Not specified

Tailored Resume

Cover Letter