Healthcare System Analyst Payer Systems
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Overview
Remote
On-site
Compensation
$50-$52/hour
Job Description
Job Title: Healthcare System Analyst – Payer SystemsLocation: Woodland Hills, CA / Mason, OH – OnsiteRate: $60/hr C2C or $50–$52/hr W2Full-Time Salary: $130KRole Overview We are seeking a Healthcare System Analyst – Payer Systems with strong hands-on experience supporting healthcare payer systems, particularly Facets. The ideal candidate should have a strong understanding of healthcare processes, including Eligibility & Enrollment, Provider Contract Pricing, Claims Adjudication, Billing, Appeals, and Grievances.Key Responsibilities & Requirements
- Strong experience as a Healthcare System Analyst with hands-on experience in Facets.
- Deep understanding of healthcare payer processes, including:
- Eligibility & Enrollment
- Provider Contract Pricing
- Claims Adjudication
- Billing
- Appeals & Grievances
- Strong understanding of Facets architecture, data models, and end-to-end process flows from a technical/developer perspective.
- Strong SQL skills for data analysis, troubleshooting, and production issue investigation.
- .NET / Full Stack technical knowledge is preferred.
- Experience working closely with both business and technical teams to gather and document system requirements.
- Ability to create technical and functional specifications/documentation.
- Strong experience troubleshooting healthcare payer data and production issues.
- Demonstrated ownership of real-world production issues, including root-cause analysis and resolution.
- Strong benefits and claims domain knowledge is highly preferred.
sania@applabsystems.com
4365 Route 1 South,Suite 105Princeton, NJ 08540www.applabsystems.comAutomate your job search with Sonara.
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FAQs About Healthcare System Analyst Payer Systems Jobs at Applab Systems Inc
What is the work location for this position at Applab Systems Inc?
This job at Applab Systems Inc is located in pismo beach, CA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Applab Systems Inc?
Candidates can expect a pay range of $50–$52 per hour for this role.
What employment applies to this position at Applab Systems Inc?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at Applab Systems Inc?
You can apply for this role at Applab Systems Inc either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.