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    Claim Analyst Sr - Boise, United States - Idaho State Job Bank

    Idaho State Job Bank
    Idaho State Job Bank Boise, United States

    1 week ago

    Idaho State Job Bank background
    Description
    Claim Analyst Sr at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

    Job Posting Title Claim Analyst Sr Job Description The Senior Claims Analyst is responsible for serving as a subject matter expert on the system functionality of implementations, projects, and testing for key Prime Service offerings.

    This position is also responsible for working with internal business partners and external clients, in addition to serving as an escalation and mentoring resource for those roles that are part of the Claim Operations job family.

    Responsibilities + Ensure completion and quality of the testing process by overseeing preparation of test case scenarios, use cases, and test scripts; participate in joint, client, and application testing and analyze and document test results + Provide subject matter expertise for roadmap and implementations to be used for business requirement documentation + Partner with business and IT to ensure proposed designs meet business needs and are effectively implemented in production by working through project life cycle activities (researching, testing, implementing, troubleshooting and measuring results) + Interpret clients and/or account management requests and lead resolution; translate complex details of system capabilities to non-technical audiences + Interpret technical specifications for business use + Serve as escalation point and mentor for all production roles + Other duties as assigned Minimum Qualifications + Bachelor's degree in Business, Communications or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required + 5 years of work experience in claims processing or project lifecycle, or related roles in the healthcare or PBM industry + Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications + Experience with Microsoft Office products + Ability to work in a fast-paced, collaborative, team environment + Strong verbal and written communication skills with the ability to drive for results and deliver on commitments + Strong analytical skills with excellent organizational, time management, and problem solving skills with ability to be attentive to detail + Strong client service orientation and track record of building client or vendor relationships + To view full details and how to apply, please login or create a Job Seeker account
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