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Senior QicLink Plan System Analyst (QicLink-Remote)

Phoenix, AZ, US, 85003


American National is currently seeking a Senior Plan Systems Analyst to join our team! 

 

Responsibilities:

  • Analyze Health Policies, certificates and optional benefits to draft system requirements, create benefit plans and benefit updates in QicLink claim processing system.
  • Perform system plan updates for benefit accuracy and identify errors or discrepancies.  If necessary, modify the plan configuration within QicLink system. 
  • Perform audits of claims attached to plans to determine any issues with plan specifications within QicLink.
  • Perform defined claim system testing for software program installations, claim system interface modules, policy benefit tables, claim processing editing programs, and other identified claim system testing.
  • Develop testing scripts to include as appropriate policy plan benefits to ensure QicLink system plan benefits are accurately adjudicating before transferring to production.   
  • Apply company policies and procedures to all claim benefit structure.
  • Hold interviews, focus groups, document analysis and workflow definitions to determine requirements.
  • Collaborate with external and internal customers on business needs.

 

Qualification:

  • High school education or GED.
  • At least 3 years of experience as a Business/systems analyst on QicLink Plan Building Modules.
  • Strong planning, organization and multitasking skill.
  • Excellent communication skills especially, in regards, to listening, understanding and interpreting requirements and instructions.
  • Work in an independent and team environment.
  • Strong analytical and product management skills.
  • Self-motivation and able to research independently and comprehend detailed information regarding Plan Systems and Claim Policy/Plan benefits.
  • Working knowledge of Microsoft Office.

 

Preferred Qualifications:

  • Bachelor’s degree from an accredited university.
  • Experience working with HIPAA X12 837, NCPDP transactions, 270/271 HIPAA transactions.

 

 

 

This role offers remote capabilities.

 


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“If you believe you can make a difference in the lives of our clients, if you’re willing to work hard, if you want a fulfilling career, and if your values match ours, then I want you to work for American National. ” – James Pozzi, President and CEO.

 

 

 

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