Sdm-ioa Delivery
4 days ago
**Job Summary**
**Responsibilities**
- Manage and oversee the delivery of solutions using QNXt SQL and Facets technologies to ensure efficient operations in claims and benefits processing.
- Collaborate with cross-functional teams to align technical solutions with business objectives enhancing provider and payer domain functionalities.
- Implement strategies to optimize claims processing workflows reducing turnaround time and improving accuracy.
- Analyze and interpret complex data sets using SQL to support decision-making processes and drive business improvements.
- Develop and maintain documentation for system processes and configurations to ensure clarity and continuity in operations.
- Coordinate with stakeholders to gather requirements and translate them into actionable technical specifications.
- Monitor system performance and troubleshoot issues to minimize disruptions and maintain high service levels.
- Facilitate training sessions for team members to enhance their understanding of Facets
- Claims and Benefits functionalities.
- Conduct regular audits of system processes to ensure compliance with industry standards and regulations.
- Provide insights and recommendations for system enhancements based on emerging trends and technologies in the healthcare domain.
- Support the integration of new technologies and methodologies to improve overall system efficiency and user experience.
- Engage in continuous learning to stay updated with the latest advancements in claims provider and payer domains.
- Drive initiatives that contribute to the companys purpose and positively impact society by improving healthcare delivery systems.
**Qualifications**
- Possess strong expertise in QNXt SQL and Facets
- Claims and Benefits demonstrating a deep understanding of these technologies.
- Have extensive experience in the claims provider and payer domains showcasing the ability to manage complex healthcare processes.
- Demonstrate excellent analytical skills to interpret data and provide actionable insights for business improvements.
- Exhibit strong communication skills to effectively collaborate with cross-functional teams and stakeholders.
- Show proficiency in troubleshooting and resolving technical issues to maintain high system performance.
- Display a proactive approach to learning and adapting to new technologies and industry trends.
- Hold a bachelors degree in a relevant field with certifications in healthcare IT systems being a plus.
**Certifications Required**
Certified Facets Professional SQL Certification
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