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Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
***This position is remote but will be expected to work 8AM-5PM PST business hours.
Position Summary:
Provides consultation on the design testing and enhancement of information product including technical assistance and product development support to external and internal customers.
Responsibilities may include:
- Researches manipulates and prepares complex data to document program activities and reports on its results.
- Provides oversight to data quality and provides feedback to various areas in order to improve auto adjudication rate and claim payment accuracy.
- Develops a consultative relationship with internal/external customers.
- Performs ongoing research and support tasks for existing systems.
- Leads or acts as a business technical expert in the design of new applications or enhancements including integration of solutions.
- Directs the implementation of program specific information through education technology organizational methods and procedures.
- Influences enhancements to business processes and system infrastructure to improve data quality availability and access.
- Analyzes complex data for trends highlights in-depth interpretations and provides in-depth root cause analysis.
- Translates complex data into constructive data and information and makes recommendations.
- Defines identifies develops and implements information products to support strategic business and operational planning.
Minimum Qualifications:
- 3 years working experience reading and understanding claims.
- 3-5 years working experience within Excel.
- 3-5 years working experience within EZCAP.
- Associates degree or equivalent experience required.
- Healthcare background.
- Working knowledge of reading and reviewing claim and coding types.
- Excellent verbal and written communication skills.
Preferred Qualifications:
- MS SQL experience is a plus.
Required Experience:
IC
Unclear