Business Systems Analyst I

North Carolina Department of Health and Human Services (DHHS)

Raleigh, NC, United States
Recruitment range: $57,983.00 - $83,019.00; salary...
Hybrid
Medicaid direct and managed care claims
Claims payment issue resolution
Document and archive claims processing support
The Business Systems Analyst I will support the processing of both Medicaid Direct and Managed Care Claims by responding to inquiries regarding claims payment issues

Job Summary

  • The Business Systems Analyst I will support the processing of both Medicaid Direct and Managed Care Claims by responding to inquiries regarding claims payment issues.
  • This position will also help to document and archive items geared towards supporting successful claims processing and may provide minimal training to stakeholders.
  • The State of North Carolina offers excellent comprehensive benefits including health insurance, retirement plans, and paid leave.

Matching Summary

The Business Systems Analyst I will support the processing of both Medicaid Direct and Managed Care Claims by responding to inquiries regarding claims payment issues.

Salary

Recruitment Range: $57,983.00 - $83,019.00; Salary Grade Range: $57,983.00 - $101,470.00; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Medicaid Direct and Managed Care Claims
  • Claims payment issue resolution
  • Document and archive claims processing support
  • Respond to internal and external inquiries

Nice-to-have

  • Understanding of Medicaid and Healthcare policies
  • Ability to organize complex information
  • Create presentations for stakeholders
  • Generate work products within stringent timelines

Key Requirements

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

Work Rights

Current North Carolina State Government Employees or eligible RIF candidates

Tailored Resume

Cover Letter