Claims And Encounter Technical Analyst

historicsites.nc.gov

North Carolina, US
Recruitment range: $67,122 - $95,639; salary grade...
Hybrid
Medicaid direct and encounter claims
Business process understanding
Technical expertise with medicaid claims
The position will serve as a technology liaison for the Managed Care Business Operations team in order 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 in order 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, and paid leave.

Matching Summary

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

Salary

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

Skills & Requirements

Must-have

  • Medicaid direct and encounter claims
  • Business process understanding
  • Technical expertise with Medicaid claims
  • GDIT and internal team collaboration
  • Defect identification and management

Nice-to-have

  • Federal managed care requirements
  • Program and operational compliance
  • Encounter Processing System oversight
  • Troubleshooting encounter data challenges
  • Data validation for accuracy

Key Requirements

  • Bachelor's degree or equivalent combination of training and experience
  • Three years of programmatic experience related to the area of assignment

Work Rights

Not specified

Tailored Resume

Cover Letter