Must-Have Qualifications

• Strong understanding of healthcare claims processing operations and the end-to-end claims lifecycle.
• Working knowledge of Facets configuration, with the ability to assess configuration impacts and facilitate discussions between business and technical stakeholders.
• Proven ability to lead and coordinate cross-functional teams consisting of client and internal resources.

Preferred Qualifications

• Experience managing competing priorities and adapting to changing business needs.
• Strong stakeholder management and decision-making facilitation skills.
• Excellent verbal and written communication skills.

Responsibilities

• Analyze and support healthcare claims processing operations and claims lifecycle activities.
• Collaborate with business and technical teams to understand, evaluate, and communicate Facets configuration impacts.
• Lead cross-functional teams to deliver project objectives and business outcomes.
• Manage multiple priorities, assess business impacts, and adjust plans to align with critical initiatives.
• Facilitate stakeholder meetings, drive decisions, and ensure accountability for action items.
• Partner effectively with both business and technology teams to ensure successful execution of projects and initiatives.

Required Skills

• Healthcare Claims Processing
• Claims Lifecycle Management
• Facets Configuration
• Business Analysis
• Stakeholder Management
• Cross-Functional Team Leadership
• Requirements Gathering
• Communication & Collaboration

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