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Urgent Hiring || Remote HRP Configuration Analyst || Any Visa but or preferred || Long Term Contract at Remote, Remote, USA
Email: [email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2033705&uid=

From:

Vikas Chaudhary,

DMS VISIONS INC

[email protected]

Reply to: [email protected]

Hello All

My name is Vikas from DMS Vision Inc.

I am looking for consultant for my client requirement.

please share profile if you are looking for new projects.

100% Remote HeathRules Payor (HRP) Configuration Analyst

12-month contract ( Visa is open but client will give preference to / first)

Key Skilled: HeathRules Payor, Benefits, Claims

The HRP Configurations Analyst ensures the integrity of the health plan claims processing by reviewing, analyzing, and configuring the health plans core system platforms. You will obtain and analyze the internal workflow, setup, and design of the software applications to ensure that the core claims system is configured correctly with legal plan documents and regulatory requirements.

Responsibilities:

Consult with users to identify current operating procedures and to clarify program objectives

Create documentation to describe program development, benefit logic, medical coding, work instructions, and corrections

Interpret manuals prepared for users to describe operating procedures

Performs a variety of complicated tasks to ensure that the core claims system is configured correctly by reviewing the system components, and validating the configuration aligns with plan documents and regulatory requirements

Develop a deep understanding of the system capabilities and evaluate requirements to determine configuration design

Provide analysis and documentation that supports configuration management, design, requirements traceability, and audit controls needed to meet state and federal regulatory requirements

Develop and improve workflows and business processes to improve customer service, decrease operational costs, and improve overall quality

Qualifications:

5+ years of experience in HealthRules Payor healthcare claims system design and configuration

Experience building out benefits plans in HealthRules Payor

Must possess claims processing knowledge, and knowledge of benefit/claims configuration for claims and enrollment systems.

Ability to contribute to process improvement projects

Excellent analytical, organizational, and problem-solving skills

Must possess knowledge of audit processes and system controls.

--
Thanks & Regards,
Vikas Chaudhary
Email: [email protected]
Linkedin : https://www.linkedin.com/in/vikas-chaudhary-9a0719256/
Phone : 972-645-0989 Ext : 109
DMS Vision ,INC
4645 Avon Lane, Suite 210
Frisco, TX 75033

Keywords: access management card Texas
Urgent Hiring || Remote HRP Configuration Analyst || Any Visa but or preferred || Long Term Contract
[email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2033705&uid=
[email protected]
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02:45 AM 21-Dec-24


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