Claims NC Medicaid Edits And Audits And NC DPS Policiesand Procedures Gathering Req   Requirement id 137172 Job title Analyst Job location in Raleigh, NC Skills required Claims, MS Outlook, Word And Excel, NC Medicaid Edits And Audits And NC DPS Open Date 26-Oct-2022 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Analyst: Claims, MS Outlook, Word And Excel, NC Medicaid Edits And Audits And NC DPS Start date :09/26/2022 End Date :09/25/2023 Submission deadline :11/02/2022 Client Info :NCDHHS-HB Description : This position will serve as a member of the Business Technology Relationship Management team. The unit is responsible for managing relationship between the DHB program/functional areas and the Technology that supports the business and supports all of the division. Job Specific Responsibilities - Review of various claims reports to perform in-depth claim analysis, validation of system changes, and review of edits/audits in order to make recommendations to maintain the integrity of the reprocessing. - Provide incident monitoring, problem ticket, incident creation and troubleshooting. - Defect Resolution - Requesting System Enhancements Preferred Knowledge, Skills, and Abilities: - Experience working with NC Medicaid - Experience with NCTracks - Experience with gathering requirements - Experience working with claims adjudication/reprocessing - An understanding of claim edits and audits - Strong understanding of health care strategy, operations, technology, and regulatory requirements - Demonstrated ability to work independently in a fast-paced environment with concurrent deadlines - Excellent communication, negotiation, conflict resolution and persuasion abilities - Strong organizational, time management, communication, and detail-oriented skills - Highly proficient with Microsoft Outlook, Word and Excel   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 137172 while calling.   Other jobs in NC: Chapel Hill (2), Charlotte (58), Dix Campus (1), Greensboro (3), Morrisville (2), North Charlotte (2), Raleigh (96), St Raleigh (2), Winston Salem (3),    Claims job openings in other states Jobs List Business Systems Analyst - 48902 Create date: 20-Jun-2019 Candidate must be our W2 Employee We should submit only GC, GC EAD, L2 EAD, H4 EAD and Citizens. Description : Responsible for translating moderately complex and varied business needs into application software requirements. Possesses full technical knowledge of most phases of systems and business analysis and is abl.... (This job is for - Healthcare Claims Jobs in VA Norfolk Analyst - (in Norfolk, VA)) Guidewire Developer - 44935 Create date: 20-Mar-2019 Job Description : Guidewire Developer Brea,Ca Experience Required 3+ years Java integration experience Webservices REST SOAP 2+ years Guidewire ClaimCenter experience Integration Conf.... (This job is for - Java Claims REST Jobs in CA Brea Developer - (in Brea, CA)) Vistex Consultant - 30610 Create date: 02-Jan-2018 Candidate must be our W2 Employee Client : Ecolab - MN Contract runs through July with strong potential for extension. Technical / Functional Consultant – Data Objects, Claims, Billbacks We are currently looking for a Technical / Functional Consultant with strong background in Vistex configur.... (This job is for - Vistex Claims SAP Jobs in MN StPaul Consultant - (in St Paul, MN)) Adv. Developer Create date: 28-Sep-2016 Start Date : 10/10/2016 Submitted Deadline: 10/04/2016 Description : Claims InterChange experience Strong C/Unix Strong SQL Knowledge of SOA concepts and web services (This job is for - Developer Claims Jobs in KS Topeka Developer - (in Topeka, KS)) HC--C/Batch Developer - J-11-163-656 Create date: 15-Sep-2016 Start Date :10/03/2016 End Date :04/30/2017 Submission Deadline :09/21/2016 Description : Healthcare Industry - Developer with Reference, Claims, Pharmacy subsystems experience. This position requires significant real world experience in work focusing on reference systems. C batch dev.... (This job is for - Claims DRG Jobs in TX ELPASO Developer - (in EL PASO, TX))     (Analyst: Claims, MS Outlook, Word And Excel, NC Medicaid Edits And Audits And NC DPS in Raleigh, NC)

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