
201 - 500 employees
Founded 1999
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Rising Medical Solutions is a company that provides comprehensive solutions for managing the costs and quality of medical care. Their services include medical bill review, care optimization, provider negotiations, and analytics and technology solutions aimed at reducing medical costs and improving care outcomes. The company also offers Medicare compliance solutions, utilization review, peer review, and a variety of management services tailored to enhance the efficiency and effectiveness of medical claims management. Rising Medical Solutions focuses on delivering optimal care at the right price, using advanced analytics and risk modeling to inform decisions and improve service delivery for clients.
🔥 6 minutes ago
🌽 Illinois, Wisconsin – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
⚙️ Systems Engineer
🚫👨🎓 No degree required
👻 Ghost score 10%
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201 - 500 employees
Founded 1999
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Rising Medical Solutions is a company that provides comprehensive solutions for managing the costs and quality of medical care. Their services include medical bill review, care optimization, provider negotiations, and analytics and technology solutions aimed at reducing medical costs and improving care outcomes. The company also offers Medicare compliance solutions, utilization review, peer review, and a variety of management services tailored to enhance the efficiency and effectiveness of medical claims management. Rising Medical Solutions focuses on delivering optimal care at the right price, using advanced analytics and risk modeling to inform decisions and improve service delivery for clients.
• Translate business requirements into technical requirements and ensure system requirements reflect defined business processes and support functional business requirements • Communicate requirements and collaborate with developers, QA analysts, and project team members to implement or enhance systems • Represent Rising in client and partner meetings for system implementations • Develop subject matter expertise on integrations between company and external systems and/or internal systems • Assist with production support, investigate issues, perform root cause analysis, and report detailed findings • Develop use cases and process/data flow diagrams • Support or create test plans and relevant training materials • Review systems and identify enhancements supporting company strategies and key performance indicators • Conduct training for Professional Services team members for subject matter knowledge transfer
• 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 • Experience with workers’ compensation insurance, group health insurance, medical bill review, and/or relevant health care industry systems and processes • 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 • Working knowledge of database and data modeling tools and concepts • Working knowledge of business-to-business data transactions and experience writing detailed mapping instructions to transfer data between distinct models • 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 • 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 • 401k matching • Career Growth Opportunities - We often promote from within • Professional Development Reimbursement Program (PDRP) • Elevate program designed to recognize and reward employees for their hard work
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