Claims System Technical Analyst - Curative HR LLC

The Claims Systems Technical Analyst serves as a facilitation and support role to help Curative improve the way our claims systems function and integrate with other systems. This role will bring to the table a depth and breadth of knowledge of claims systems including integration points, data and reporting, and configuration management. The role will work closely with the Operations and Technical teams to identify and document requirements and design and develop solutions to support those requirements.

Our team is remote, and we’re dedicated to creating an ambitious and diverse organization to represent and support the patients we serve.

Finally it's important to us that everyone on our team be prepared to work with and supportive of a variety of backgrounds, roles, and needs. Our organization is built on trust and mutual respect, we know that it's only together that we achieve truly great things.

Responsibilities

• Work closely with the Curative Tech team to provide guidance and support for development activities

• Document business requirements for system configuration and integration activities

• Support Data and Analytics teams with navigating complex data warehouse structures to create key reports and dashboards

• Support Operations and Configuration teams with troubleshooting, research, and analysis of claims system functionality and suggest improvements

Please reach out if this describes your experience

• 7+ years of working within a healthcare payer environment in Operations or Technology

• 5+ years of experience working hands-on with HealthRules Payer required, including knowledge of HR Connector APIs and the HR Data Warehouse schema

• Demonstrated expertise with technical tools such as Postman, SOAPUI, SQL Querying tools, Oracle databases, REST and SOAP APIs

• Deep knowledge of healthcare claims processing and payer operations

• Working knowledge of HIPAA EDI transactions (837, 835, 834, etc.)

• Demonstrated expertise with common tools such as MS Word, MS Excel

• Knowledge of Robotic Processing Automation (RPA) tools in a healthcare payer environment is a plus

• Scripting experience (e.g. Python) is a plus