Database Marketing Analyst performs analysis of marketing databases to evaluate and improve the effectiveness of various marketing programs. Develops strategy for targeted marketing campaigns and is responsible for data extraction and list or lead generation. Being a Database Marketing Analyst runs various reports to track retention, identify new customers, and pinpoint opportunities to increase sales to current customers. Ensures that the database is updated and maintained in a timely fashion. Additionally, Database Marketing Analyst requires a bachelor's degree. Typically reports to a manager. The Database Marketing Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Database Marketing Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Claims Specialist plays a critical role in enhancing healthcare claims processing efficiency through automation and process improvement. This position requires a deep understanding of existing business and application processes, the ability to collaborate with business stakeholders to develop solutions, and the capacity to conduct testing and resolve claims processing issues. This person will also be responsible for mentoring team members and configuring system tables and data elements.
**Key Responsibilities:**
1. **Claims Process Improvement:**
- Collaborate with cross-functional teams to identify opportunities for automation and process enhancement within the healthcare claims processing system.
2. **Business Process Understanding:**
- Develop an in-depth understanding of existing business and application processes related to claims processing.
3. **Solution Development:**
- Facilitate discussions with business areas to analyze issues, develop solutions, and quantify the business impact of proposed solutions.
4. **Testing and Quality Assurance:**
- Plan, execute, and document test cases for claims processing.
- Coordinate with IT staff during developer and QA testing.
- Independently perform User Acceptance Testing (UAT).
5. **Issue Resolution:**
- Research and resolve claims processing issues to ensure seamless operations.
6. **User Support:**
- Assist business users by triaging, troubleshooting, analyzing, and resolving claims processing issues.
7. **Application Upgrades:**
- Lead and participate in testing upgrades to new versions of the Cognizant/TriZetto Facets claim processing application.
8. **Mentorship:**
- Mentor and guide other team members to enhance overall team application knowledge and capabilities.
9. **System Configuration:**
- Configure and maintain system tables and data elements across multiple system environments.
10. **Automation Development:**
- Develop macros for claims processing automation to streamline workflows.
**Qualifications:**
- Bachelor's degree in a relevant field or equivalent work experience.
- Proven experience in healthcare claims processing and administration.
- Proficiency in claims processing software, with expertise in the Cognizant/TriZetto Facets system preferred.
- Strong problem-solving skills and analytical abilities.
- Excellent communication and interpersonal skills.
- Ability to work independently and collaboratively in a team.
- Prior experience in testing and quality assurance is a plus.
If you are a highly motivated professional with a passion for optimizing healthcare claims processing and have the skills required for this role, we encourage you to apply. Join our team and make a significant impact on our organization's claims processing efficiency and accuracy.
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