
201 - 500 funcionários
Fundada em 1999
⚕️ Seguro de Saúde
☁️ SaaS
📋 Conformidade
Healthcare Insurance • SaaS • Compliance
A Rising Medical Solutions é uma empresa que oferece soluções abrangentes para gerenciar os custos e a qualidade do atendimento médico. Seus serviços incluem revisão de contas médicas, otimização do atendimento, negociações com prestadores e soluções de tecnologia e análise, voltadas para a redução de custos médicos e melhoria dos resultados do atendimento. A empresa também oferece soluções de conformidade com o Medicare, revisão de utilização, revisão por pares e uma variedade de serviços de gestão adaptados para melhorar a eficiência e eficácia da gestão de sinistros médicos. A Rising Medical Solutions foca na entrega de atendimento de qualidade ao preço certo, usando análises avançadas e modelagem de risco para informar decisões e melhorar a prestação de serviços para os clientes.
🕒 Maio 22
🗣️🇺🇸🇬🇧 Inglês obrigatório
Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

201 - 500 funcionários
Fundada em 1999
⚕️ Seguro de Saúde
☁️ SaaS
📋 Conformidade
Healthcare Insurance • SaaS • Compliance
A Rising Medical Solutions é uma empresa que oferece soluções abrangentes para gerenciar os custos e a qualidade do atendimento médico. Seus serviços incluem revisão de contas médicas, otimização do atendimento, negociações com prestadores e soluções de tecnologia e análise, voltadas para a redução de custos médicos e melhoria dos resultados do atendimento. A empresa também oferece soluções de conformidade com o Medicare, revisão de utilização, revisão por pares e uma variedade de serviços de gestão adaptados para melhorar a eficiência e eficácia da gestão de sinistros médicos. A Rising Medical Solutions foca na entrega de atendimento de qualidade ao preço certo, usando análises avançadas e modelagem de risco para informar decisões e melhorar a prestação de serviços para os clientes.
• Translate business requirements into technical requirements and ensure all system requirements adequately reflect defined business processes and fully support all components of the functional business requirements • Communicate requirements and collaborate with developers, QA analysts, and other project team members to implement or enhance systems • Represent Rising in client and partner meetings for system implementations • Develop a subject matter expertise on one or more aspects of integrations between company and external systems and/or internal systems • Assist with production support - investigate issues, root cause analysis, report and communicate detailed findings when necessary • Develop use cases and process/data flow diagrams • Support the creation and/or create test plans and relevant training materials • Conduct reviews of systems and identify enhancements that support company strategies and affect key performance indicators • Conduct training for other Professional Services team members for subject matter knowledge transfers
• A Bachelor’s degree or equivalent, preferably in an IT-related field • A minimum of two full years of experience in a business systems analyst or equivalent role • Must have experience with workers’ compensation insurance, group health insurance, medical bill review, and/or relevant health care industry systems and processes • Must have experience with requirements analysis, interacting with business users to define clear scope, and contributing to cross-functional teams • Excellent analytical, communication, and problem-solving skills, and experience applying these skills to resolve application design considerations and technical issues • Must have working knowledge of database and data modeling tools and concepts • Must have working knowledge of business-to-business data transactions and experience writing detailed mapping instructions to transfer data between distinct models • Must have experience analyzing XML or EDI messages • Strong working knowledge of SQL and database concepts to aid in data analysis • Ability to communicate technical information clearly and participate in collaborative meetings with representatives from internal departments and clients • Skill in the use of computerized spreadsheet, relational database, and word processing software • Ability to process computer data and to format and generate reports • Must have experience creating detailed visual models to support requirements including data flow/workflow diagrams • Ability to conform to shifting priorities, demands, and timelines • Ability to quantify results in terms of cost savings and key performance indicators • Demonstrated history of proactively identifying improvement opportunities in systems and methodologies
• Generous Flexible Time Off (take it when you need it!) • Comprehensive benefit package including health/dental/vision insurance, profit sharing, and 401k matching • Career Growth Opportunities - We often promote from within • Professional Development Reimbursement Program (PDRP) • You will be part of our new Elevate program designed to recognize and reward employees for their hard work • Rising was named a Top Workplace in the healthcare industry for 2023! Check out our profile here: Working at Rising Medical Solutions | Top Workplaces • We're on YouTube! Check out our culture at: http://www.youtube.com/user/RisingMedical • Want to see more? Check out our: • Facebook: https://www.facebook.com/RisingMedicalSolutions • LinkedIn: http://www.linkedin.com/company/rising-medical-sol..
Candidatar-se🕒 Maio 22
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