Implementation Specialist

Job not on LinkedIn

🔥 12 hours ago

🏰 Missouri – Remote

🏰 Missouri – Remote

⏰ Full Time

🟢 Junior

🛠️ Implementation Specialist

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Healthcare Fraud Shield

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2011

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

💰 Private Equity Round on 2021-01

Healthcare • Consulting • Healthcare Insurance

Healthcare Fraud Shield is a company specializing in Payment Integrity and Cost Containment solutions for healthcare insurers. They offer a comprehensive, AI-driven platform that incorporates advanced anomaly detection and a proprietary data fusion library to combat fraud, waste, abuse, and errors in healthcare claims. Their robust end-to-end solution optimizes the auditing process, utilizing both pre- and post-payment data to maximize savings and improve accuracy in claim processing. By providing actionable insights and expert support, Healthcare Fraud Shield helps organizations achieve significant annual savings and enhance operational efficiency.

📋 Description

• Plan and implement new client installations • Manage project timelines, schedules, milestones, and deliverable deadlines • Manage assigned implementation tasks to the highest standards • Apply project management and organizational skills to implementation processes • Analyze client data files throughout the implementation process • Assist with documentation for client data feeds, including mapping and special data manipulation • Assist with testing for new client implementations • Identify obstacles and impediments in the client onboarding process • Collaborate with internal teams to identify resources for client data obstacles, implementation milestones, and special client needs • Communicate with clients about data needs and concerns, provide status updates, and guide the installation process • Provide regular status updates to internal staff and client resources • Manage schedules and timelines in project management software and company project templates • Deliver a high level of customer service • Comply with company Privacy and Security standards • Protect confidential health information as required by law • Perform other duties as needed, including data entry and research tasks

🎯 Requirements

• Bachelor’s degree required; focus Health Insurance or Administration preferred • 3+ years’ experience working with Health Insurance claim data or in a related industry preferred • 1-2 years project management or related experience, preferably supporting efforts to configure and customize a system or product • Advanced knowledge of Microsoft Office Suite, including Word, Excel, Project, and Outlook • Good working knowledge of web applications • Experience in healthcare IT, clinical informatics, or Healthcare Fraud, Waste and Abuse (FWA) strongly desired • Knowledge of health care, insurance, medical terminology, CPT, HCPCS, DRG, Revenue, ICD-9, and ICD-10 preferred • Proficient in the use of computers and computer applications • Ability to prioritize and organize large volumes of projects • Ability to solve problems and make decisions • Excellent verbal and written communication skills • Attention to detail • Ability to work in a team environment • Outstanding organizational and time management skills • Self-motivated • Must have high-speed Internet with minimum 25mbs download and 5mbs upload; satellite Internet is not allowed

🏖️ Benefits

• Medical, Dental & Vision insurance • 401(k) retirement savings with employer match • Vacation and sick paid time off • 7 paid holidays & 2 floating holidays • Paid maternity/paternity leave • Disability & Life insurance • Flexible Spending Account (FSA) • Employee Assistance Program (EAP) • Professional and career development initiatives • Remote work eligible • High-speed Internet required (minimum 25mbs download and 5mbs upload; satellite is not allowed)

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