Claims Systems Configuration Lead Analyst - eviCore - Remote

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Requirements:

• High School Diploma required, bachelor's degree preferred.
• 3+ years of experience as a subject matter expert for claims systems.
• Project Management Experience required.
• Six Sigma Certification required.
• Experience in creating test plans/use cases for end-to-end testing required.
• Advanced experience with MS Access, Excel, SQL, and all MS Office products required.
• 5+ years of healthcare claims lifecycle experience required.

Responsibilities:

• Be the Subject Matter Expert for the eviCore claim systems.
• Collaborate with teams to identify solutions for procedural gaps.
• Support and lead client implementations and internal integration efforts.
• Resolve escalated systems issues from leadership, business, and clients.
• Analyze existing setups for opportunities to improve adjudication automation.