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System Analyst

Lorven technologies

Hi,

Our client is looking for System Analyst in Woodland Hills CA, below is the detailed requirement.

Job Title: System Analyst

Location: Woodland Hills CA

Job Description:

  • Bachelor's degree in related field.
  • Deep expertise in healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider Management

Strong SQL proficiency:

  • Complex queries, joins, stored procedures
  • Ability to analyze data across multiple systems/sources
  • Solid understanding of database design, schemas, and data relationships
  • Proven ability to analyze, reconcile, and troubleshoot payer data (claims, membership, benefits)

Functional understanding of Facets platform:

  • Architecture, modules, and capabilities
  • How Facets supports core payer workflows
  • Working knowledge of AI/ML concepts and how they apply to healthcare data (e.g., predictive analytics, automation, insights)
  • Ability to translate business requirements into functional designs and data mappings
  • Experience across Commercial, Medicare, and/or Medicaid lines of business
  • Strong collaboration skills across business, data, and engineering teams
Vacancy posted more than 2 months ago

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