System Analyst------------Need GC and USC
Core
Translating medical policy rules and codes between legacy Claim Check systems and the new Xten system to ensure functional parity.
Role type
Systems Analyst (Healthcare Claims Integration)
Builds
Integrated claims processing workflows for medical payers
Domain
Healthcare / Insurance Claims / Legacy System Migration
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
5+ years experience in healthcare claims systems, knowledge of McKesson Claim Check, knowledge of Xten, ability to map legacy codes to new systems, SOP analysis, business process impact assessment
Preferred skills
Experience with NASCO integration, testing methodologies
Technologies
Claim Check, Xten, NASCO
Responsibilities
Map legacy medical policy rules and codes to the new Xten system, analyze current SOPs and business processes for integration impact, validate code translations through testing
Seniority
Mid-level, hands-on IC