Claims And Encounter Technical Analyst

North Carolina Department of Health and Human Services (DHHS)

North Carolina, US
Base: $67,122 - $117,465; recruitment range: $67,1...
Hybrid
Medicaid direct and encounter claims
Business processes and medicaid processes
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

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

Skills & Requirements

Must-have

  • Medicaid direct and encounter claims
  • Business processes and Medicaid processes
  • Technical expertise with Medicaid claims
  • Work with technical staff and internal teams
  • Planning, organizing, requirements definition
  • Defect identification and management

Nice-to-have

  • Federal managed care requirements
  • Identify, analyze, and resolve issues
  • Oversight of Encounter Processing System
  • Troubleshoot encounter and claims data challenges
  • Recommend process and system improvements

Key Requirements

  • Bachelor's degree in a related discipline with three years of programmatic experience
  • Equivalent combination of training and experience
  • Must be eligible to work in the US

Work Rights

Not specified

Tailored Resume

Cover Letter