Claims Implementation Analyst

Job Summary

A company is looking for a Claims Implementation Analyst.

Key Responsibilities:

• Analyze, document, and coordinate the implementation of claims business requirements
• Query claim data to identify root causes and provide data-driven recommendations
• Collaborate with project teams to develop project plans and ensure post-implementation accuracy

Required Qualifications:

• Associates Degree or high school diploma/equivalent with at least 5 years of claims experience
• Experience in claim or data analysis within a healthcare-related environment
• Proficiency in analytical tools such as SQL, Tableau, and Microsoft Excel
• Experience gathering and communicating business requirements effectively
• Knowledge of medical terminology and claims processing practices preferred