About The Position

The Health Plan Claims Analyst II is responsible for multiple components of specific health plan operations. The Health Plan Claims Analyst II provides administrative, operational and programmatic support services within an assigned area/department. This position requires strong problem solving skills, analytical and organizational abilities. The position will also include quality assurance activities as well as making recommendation for process changes based on the outcome of these activities. The position will require coordination of workflow across multiple entities including payors, providers, and program leadership and therefore also requires effective communication.

Requirements

  • Strong problem solving skills
  • Analytical abilities
  • Organizational abilities
  • Effective communication skills

Responsibilities

  • Provides administrative, operational and programmatic support services within an assigned area/department.
  • Conducts quality assurance activities.
  • Makes recommendations for process changes based on the outcome of quality assurance activities.
  • Coordinates workflow across multiple entities including payors, providers, and program leadership.
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