Senior Systems Analyst, ITS & Claims
Bcbsms
Senior Systems Analyst, ITS & Claims page is loaded## Senior Systems Analyst, ITS & Claimslocations: Flowood, MStime type: Full timeposted on: Posted 6 Days Agojob requisition id: JR100232# Healthy Careers Start HereAt Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle.## The Senior Systems Analyst is responsible for analyzing business requirements, creating technical specifications, and developing mainframe applications, interfaces, and databases. The Senior Systems Analyst is also responsible for the maintenance of claims applications, including production on-call support and technical issue resolution. The Senior Systems Analyst serves as a technical subject matter expert for claims systems and provides expert consultative assistance to Applications management and staff. The incumbent also supports implementation of software releases for the Federal Employee Program and/or the BlueCard National Program.**Job-Specific Requirements:*** A Bachelors Degree in Computer Science, Mathematics, or related field is required.* At least 7 years of programming experience is required.* Must have a minimum of 5 years of system analysis and design experience.* Must be competent in COBOL, JCL, CICS, MVS, DB2, and SDLC.* Proficiency in Microsoft Word, Excel, PowerPoint, and Visio is required.* Must demonstrate familiarity with Business Writing, Project Management, Time Management and Conflict Resolution and Teamwork concepts and practice.* Experience in Project Management is preferred.Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.At Blue Cross & Blue Shield of Mississippi, we work daily to help Mississippians find their personal answers to this question through health and wellness partnerships with quality healthcare providers, employer groups and community leaders across the state. Our goal is to help each person along their journey to a healthier life… their Blue Wellness Journey. Our health and wellness benefits are designed to support our members in understanding their health and in receiving the care they need at the right time and place, beginning with establishing a healthy relationship with a Primary Care Network Provider through an annual wellness visit at no out-of-pocket cost. We partner with our Network Providers to ensure the highest quality, evidence-based care is provided in each care setting from primary care to specialty care through our Primary Care Home, Blue Distinction+ Centers of Excellence and Maternity Care Quality initiatives. We partner with employer groups to make every workplace a healthy workplace by providing tools and information to help employees take ownership of their health and understand and make the most of their benefits, all while working to manage health and healthcare costs. We partner with community leaders and organizations to make healthy living resources available to all Mississippians through the work of the Blue Cross & Blue Shield of Mississippi Foundation, our support of the arts and culture and our Team Blue volunteers. These partnerships and our dedicated team of employees are making a difference every day, in our communities and in the lives of each person we reach. Live healthy. Live Blue. #J-18808-Ljbffr
- ...A healthcare company in Flowood, MS, seeks a Senior Systems Analyst to develop mainframe applications and support claims systems. The role requires a Bachelor's Degree in Computer Science and at least 7 years of programming experience, including system analysis and design...SeniorClaims
$110.7k - $178.2k
A leading diagnostic imaging company is seeking an experienced professional to enhance its Quote-to-Cash processes. The successful candidate will require deep expertise in Q2C workflows, preferably with hands-on experience in Salesforce CRM and Oracle E-Business Suite....SeniorRemote work$68.4k
...and supporting the Epic Resolute Hospital Billing and Claims application. Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand...ClaimsFor contractorsWork experience placementWork at officeLocal areaRemote work$80k - $85k
A leading risk and claims administration firm seeks a Litigation Consultant to manage high-end cases involving serious injuries and complex legal scenarios. The ideal candidate will have a Bachelor's degree and a JD, ten years of litigation experience, and strong communication...SeniorClaimsLocal areaRemote work$118.69k - $189.91k
...where technology meets strategy. As a Principal Actuarial Data Systems Analyst, you will play a crucial role in delivering technical data... .... (Highly preferred) ~5+ years' experience with medical claims, Pharmacy/medical rebate data. (Highly preferred) ~ Facets...ClaimsLocal area$98.09k - $156.95k
...of the specific business area for implementation of a packaged system software. Lead configuration and administration of the Packaged... ...aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in...SeniorClaimsWork at officeLocal areaRemote workFlexible hours2 days per week- ...to commit to a healthy lifestyle. Job Summary: The Senior Actuarial Analyst completes a wide range of tasks to include enhancing and developing... ...and related rate recommendations, analyzing and monitoring claims trends, completing claims triangles and reserve estimates,...SeniorClaimsWork at office
- ...The Senior Warehouse Operations Manager provides strategic and operational leadership for a high-volume furniture and appliance distribution... ...of escalation for major manufacturers regarding freight claims, quality issues, or large-scale product recalls. Job Requirements...SeniorClaims
$130.56k - $208.9k
...Job Description The Senior Manager, Financial Planning & Analysis provides strategic leadership across financial planning activities... ...of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in...SeniorClaimsLocal areaRemote work- ...Full Time Department: Legal Location: Jackson, MS CGS is seeking a Senior Paralegal to support the legal mission of a large federal agency... ...precedents; preparing legal digests; processing debt‑collection claims referred by client agencies; making decisions regarding debt...SeniorClaimsFull timeFlexible hours
$62.4k - $93.6k
...Sr Representative Claims - CH08BE We’re determined to make a difference and are proud to be an insurance company that goes well beyond... ...team as we help shape the future. The Workers’ Compensation Senior Claim Representative is accountable for planning, recommending,...SeniorClaimsTemporary workRemote workMonday to Friday3 days per week- ...Performs online account status checks and contacting payers to follow-up on outstanding claim balances of assigned accounts in work queues. Clearly documents in EMR system the patient account notes, the payment status of the account, and/or actions taken to secure...SeniorClaimsWork at office
$80k - $95k
...Description Job Description: Title: Senior Account Manager - Commercial Lines... ...requests, policy administration, billing, claims, and coverage analysis. ~ Policy... ...collecting outstanding balances. ~ System Maintenance: Maintain agency management...SeniorClaimsFor contractorsRemote work$107.9k - $172.64k
...__________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information...SeniorClaimsWork at officeLocal areaRemote workFlexible hours2 days per week$89.17k - $142.68k
...Job Description Acts as a senior member of the strategic function by contributing to the achievement of innovation-based goals... ...aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in...SeniorClaimsContract workWork at officeLocal areaRemote workFlexible hours2 days per week$115k - $125k
...connect the pieces of fragmented health care system and ensure people get the same level of... .... What You'll Be Doing: As a Senior Product Owner at Evolent Health, you will... ...of healthcare data formats (eligibility, claims, authorizations) and compliance standards...SeniorClaimsWork at officeImmediate start$44.4k - $79.8k
...Sr Ability Analyst - C409AN Ability Specialist - C409BN We're determined... ...work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer... ...the ability to navigate multiple systems simultaneously High School...SeniorClaimsFull timeTemporary workPart timeWork at officeRemote work3 days per week$109.2k - $223.4k
...Description Oracle is seeking a US-based Senior Principal Energy Program Manager,... ...RFPs Supplier onboarding into Oracle's systems Monitor markets conditions to inform team... ...making carbon reduction and renewable energy claims: Global Reporting Initiative (GRI),...SeniorClaimsContract workTemporary workFor contractorsFlexible hours$27.02 per hour
..., type of industry, characteristics of employee groups, or past claim experience to determine what benefits can be offered, which is a... ...pricing formula. # Understands and effectively uses underwriting systems and tools. Actively participates in system enhancement and...SeniorClaimsFor contractorsWork at officeLocal area$230.72k - $345k
...Job Summary The Senior Director, Data and AI Engineering will be a visionary and strategic leader responsible for defining and executing... ...fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent...SeniorClaimsTemporary workLocal areaFlexible hours- ...licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-...ClaimsFlexible hours
$113.15k - $135.64k
...innovation meets mission-critical impact. As a Senior Enterprise Architect , you’ll lead the... ...your opportunity to architect resilient systems that drive real-time decision-making and... ...takes affirmative action in support of its policy to advance diversity and inclusion...SeniorFull timeWork at officeWorldwideNight shift- ...Job Description Job Description Senior Paralegal Employment Type: Full Time, Mid-Level Department: Lega l CGS is seeking... ...precedents, preparing legal digests, processing debt collection claims referred by client agencies, and making decisions regarding debt...SeniorClaimsFull timeFlexible hours
$150.03k - $224.25k
..., Outlook) and familiarity with electronic document management systems (EDMS). Competencies See OPDC Competencies Chart (Level... ...equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are...SeniorClaimsTemporary workWork at officeLocal areaFlexible hours$71.1k - $97.8k
...Become a part of our caring community The Senior Installation Administration Professional establishes and manages relationships... ...end process from the point of sale to members loaded in system, ID cards issued, claims opened for processing and certifications issued....SeniorClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$120k - $160k
..., knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced...SeniorClaimsWork at officeLocal areaFlexible hours- ...and machine learning models that improve claims outcomes, operational efficiency, and risk... ...enterprise AI platforms and operational systems. Design feature engineering strategies... ...technical guidance to data scientists and analysts across the organization. Mentor junior...ClaimsRemote work
$25k
...tech companies, focused on testing, evaluating, and improving AI systems. Participation is project-based, not permanent employment.... ...tasks, contributors may: Evaluate AI-generated auto insurance claims decisions for accuracy, coverage correctness, and regulatory compliance...SeniorClaimsHourly payPermanent employmentTemporary workPart timeFreelance10 hours per week$40k - $250k
...A leading risk and claims administration partner is seeking a Specialty Loss Adjuster. This role offers the chance to manage complex cases with a supportive team, and flexible work arrangements. Ideal candidates should have experience in insurance claims and possess strong...ClaimsFlexible hours- ...experience strongly preferred Experience with ModMed and/or HST EMR systems strongly desired Essential Functions Demonstrate... ...accurate data entry Perform timely follow-up on insurance claims, including rejections and denials, to secure prompt payment...Claims
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