Be an early applicantLess than 25 applicants

Company

Curative · 1 day ago

System Business Analyst

Austin, TX

Full-time

Remote

Senior Level, Lead/Staff

10+ years exp

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Health CareHealth Diagnostics

H1B Sponsor Likely

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Responsibilities

Work closely with Senior Management to collaborate on strategy to meet company goals.

Collaborate closely with the Client Services, Product, and Engineering teams in planning and execution of strategic objectives.

Lead a high-performing team of analysts responsible for the development and support of product configurations that drive our world-class software products.

Successfully Lead the System Configuration team day-to-day operations of the Curative

Consistently ensure the tasks for System Configuration teams are performed and completed & communicated to the other team members

Coordinate the planning, prioritization, and timeline of work tied to meeting company and team goals while closely tracking and communicating around the complex network of dependencies (and potential blockers)

Become a subject matter expert and leader in our business, Health Edge product

Lead by example, taking a senior role in the day-to-day work of the team.

Provide guidance and leadership in the implementation and maintenance of processes and systems to mature the operations of the team

Develop a humble, fun-loving, and highly communicative and collaborative team culture.

Develop key milestones for the team and lead the execution of team initiatives.

As part of a growing company, all employees wear multiple hats and contribute to the success of our company in multiple ways.

Contribute to the growth of the company by helping the team succeed and meet team goals.

Foster a pleasant working environment that inspires the team.

Self-motivation to have an outsized impact with minimal oversight.

Ability to see the big picture and make connections based on daily operations.

Work closely with IT, Medical Services, System Support, to ensure efficiency

Provider Contracts Configuration and design changes in Health Edge.

Daily Work with the Claims Processing team to ensure day-to-day claims processing are being handled in a timely manner.

Works on claims team projects and reporting, assigned.

Attending departmental training when required or requested.

Adheres to the rules and regulations of Curative as described in the Employee Handbook and as defined in the unit/department/clinic procedures.

SaaS software experience.

Health Insurance industry experience.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Health Edge product expertiseHealth Insurance industry experienceClaims Processing E2EHealth Care EDI 837’sOptum Products knowledgeClaims payment systemsAdvanced claim coding knowledgeHIPAA regulations knowledgeICD-10 CPT codingMicrosoft Office proficiencyGoogle Sheets proficiencySQL knowledgeTDI regulations knowledgeEnrollment/Eligibility 834’s EDIMedical terminology knowledge

Required

At least 10-12 years of Health Care EDI 837’s, Claims Processing E2E and Health Plan Configuration along with Knowledge of Optum Products such as CES/PPS Health Edge experience required, including HMO, PPO, ERISA, and Medicare Advantage, Medicaid plans experience.

Knowledge of CMS Fee schedules

Required Experience working with Health Edge- Health Rules Payer system, a variety of claims payment systems, processing of all claim types, to include hospital/facility, behavioral health, dental, vision, and professional medical claims.

Experience working with the VBA claims system.

Ability to communicate with all levels of staff.

Advanced Knowledge of claim coding and editing rules Optum/CMS

Knowledge of TDI regulations and requirements for claims payments

Knowledge of HIPPA regulations

Knowledge of medical terminology, ICD-10 CPT, and HCPCS coding.

Proficient computer skills to include Microsoft Office applications and Google Sheet

Excellent verbal and written communication skills

Ability to communicate clearly and effectively.

Ability to sit for extended periods of time at a computer workstation.

Ability to Multitask and think creatively.

Enrollment/ Eligibility 834’s EDI 837’s

Health Edge HRP and Optum Interfaces expertise

SQL knowledge is required

Company

Curative

Glassdoor

3.2

Employer-sponsored health insurance with No Copays, No Deductible. No... Really.

Founded in 2020

Austin, Texas, USA

201-500 employees

https://curative.com

H1B Sponsorship

Curative has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2022 (2)

2021 (4)