Research DataOps Engineer implementing a Data Lake House for AI and Analytics at Caristo Diagnostics. Join an innovative healthcare start - up focused on transforming cardiovascular care.
CI
Hybrid Claims Process and Operations Specialist
Posted 5 months ago
About the role
- Claims Process and Operations Specialist overseeing Claims related Program data lifecycle. Engaging in implementation, monitoring, and data reconciliation across programs.
Responsibilities
- oversee the entire lifecycle of all Claims related Program data
- engage in implementation of new Programs, monitoring existing Programs
- handle processes related to support the Delegated Authority and Underwriting Controls division
- process data, perform reconciliations, execute monthly data processes
- conduct thorough data reconciliations to ensure accuracy between different datasets and resolve discrepancies
- collaborate with cross-functional teams to ensure data accuracy and integrity
Requirements
- Bachelor’s degree in a technical or business discipline
- Minimum of 1 year of process execution experience
- Experience in managing varied priorities concurrently while meeting deadlines and service expectations
- Experience working with Key Performance Indicators
- Proficiency in MS Excel, Visio, and Power BI
- Knowledge and understanding of Fabric preferred
- Excellent analytical and problem-solving skills
Benefits
- medical, dental, vision, and life insurances
- short and long-term disability
- Company-match of 100% of a 6% contribution 401(k) plan
- Employee Assistance Plan
- Health Savings Account
- Flexible Spending Account
- Health Reimbursement Account
- wellness program
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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