Claims Systems Analyst - NASCO

Job Description

Job Description

Position Details:

Job Title: Claims Systems Analyst – NASCO
Location: Detroit MI (Hybrid)
Duration: 12+ Months

Will this position be required to work onsite for any reason at any time? Yes, Hybrid – The resource will be required to come into the office 2 times per week

Engagement Description – We are seeking a Medicare Advantage (MA) Claims Analyst to support the configuration, accuracy, and ongoing optimization of claims processing operations. This role is responsible for configuring MA benefit parameters in the claims platform to ensure compliance with CMS requirements, conducting detailed claim reviews to validate reimbursement accuracy, and identifying and resolving system defects in partnership with IT, NASCO, and vendor teams. The ideal candidate will monitor regulatory and policy changes, analyze claims data to identify trends and root causes, develop solutions that improve payment accuracy and operational efficiency, and deliver meaningful reports and dashboards that provide stakeholders with insights into claim performance, defect resolution, and process improvement opportunities.

Top 3 Required Skills/Experience –
• Strong analytical and problem-solving skills
• Ability to complete medical claims analysis
• Experience in system testing

Required Skills/Experience – The rest of the required skills/experience. Include:
• Ability to quickly learn new system applications
• Organizational skills and ability to prioritize; must be able to work on multiple tasks with varying timelines
• Strong understanding of medical benefit application

Preferred Skills/Experience – Optional but preferred skills/experience. Include:
• Knowledge of CMS regulations

Education/Certifications – Include:
• Bachelor's degree in related field is preferred \nCompany Description

Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.

At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.

Kyyba is an Equal Opportunity Employer.

Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other b

Company Description

Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.\r\n\r\nAt Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.\r\n\r\nKyyba is an Equal Opportunity Employer.\r\n\r\nKyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other b