We’re seeking a
Claims Analyst to work at a premie
r healthcare client in
Houston, TX 77092. Sound good? Take a closer look below. We’re here to help you find something great that works for you—so you won’t miss a moment of what really matters in your life.
Salary/Pay Rate/Compensation: $20 hr
Schedule: mon-fri 8am-5pm onsite What’s a typical day as a Claims Analyst? You’ll be:
• Responsible for configuring and building an internal SQL data
• Managing and coordinating with the current claim vendor the transfer process
• Building and establishing a new SQL data store environment
• Developing and implementing backup extracts and protocols to support backups for the new ongoing claim operations.
• Developing SQL extracts from the data store according to the new claim vendor's specifications required to load the historical claims data into the new claim system.
• Developing and implementing reporting necessary for the IPA to meet its required claims operations and delegated reporting and audit responsibilities.
• Integrating EDI files (834, inbound and outbound 837's) and encounter reporting mandated by health plans.
• Defining, building, and productional suite of claims-based utilization and financial performance reporting for management and daily operations.
This job might be an outstanding fit if you:
• Have demonstrated expert competency in data mining software including SQL/relational databases.
• Are proficient in MS Office components including Access, Excel, and Visio.
• Have competency using one or more report writing tools.
• Can develop, document, and implement automated continuous monitoring of systems and associated policies and procedures.
• Have strong oral and written communication skills.
• Preferably have a Bachelor's Degree.
• Have 5 or more years of experience designing, implementing, and maintaining large and dynamic databases (SQL Server or MS Access) and reporting (Excel or Crystal).
• Possess business knowledge and technical skills to actively participate in the development and production of claims-based reporting and analytics.
• Have at least 3-5 years of experience in a healthcare delivery or healthcare business setting.
• Have critical thinking skills with a demonstrated work history of problem-solving in a diverse environment using analysis and manipulation of large data sets.
• Have managed at least 1-3 staff.
Recruiter-Shavon : 281.448.0069-North Houston office
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click
here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
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About Kelly
Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.
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