Claims And Encounter Technical Analyst

North Carolina Department of Health and Human Services (DHHS)

Wake County, NC, United States
Salary grade range: $67,122 - $117,465; recruitmen...
Hybrid
Medicaid direct and encounter claims resolution
Business processes and medicaid processes 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 options, 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

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

Skills & Requirements

Must-have

  • Medicaid direct and encounter claims resolution
  • Business processes and Medicaid processes understanding
  • Technical expertise with Medicaid claims
  • Work with technical staff and internal teams
  • Defect identification and management

Nice-to-have

  • Federal managed care requirements knowledge
  • Evaluate and troubleshoot data challenges
  • Second-chance employment support

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter