at MultiPlan in Naperville, Illinois, United States
Job Description
Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.
Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!
JOB SUMMARY: A Client Implementation Analyst is responsible for the electronic setup, testing and go-live of IT projects that involve Client Claims Processing. These claims may be received either via EDI (Electronic Data Interchange) or via Web Services (near real time technology). The analyst is involved end to end in the process to implement both new business workflows and existing products for all clients/trading partners, and is also the subject matter expert for internal initiatives on revenue generating and process improvement projects.
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JOB ROLES AND RESPONSIBILITIES:
1. Manage the efforts to fulfill a client request to access MultiPlan Products, and to customize how they access/utilize MultiPlan Products using EDI and Web Services claims processing workflows. It includes but is not limited to the below:
* Understanding client needs
* Researching current client setup & claim processing rules
* Designing the quickest and most efficient solution
* Communicating effort, timelines, risk and client impact
* Implementing the solution and validating that it works as intended
* Performing end-to-end client-facing and regression testing
* Enabling client solution in the production environment
* Monitoring/Reporting/Turnover to Production Support
2. Act as the primary liaison between business and technical teams.
* Build and maintain positive working relationships with internal colleagues (including IT, Sales and Marketing, and Operations) and external contacts.
3. Manage and coordinate IT deliverables to both internal and external stakeholders
* Participate in implementation meetings with clients and vendors committed to establishing a partnership with MultiPlan.
* Provide HIPAA-compliant guidance to clients requesting additional information about MultiPlan requirements and industry standards for EDI protocols.
* Ensure proper setup of all systems that support file transfer and claims processing between MultiPlan and clients.
* Work on standard as well as custom, non-standard projects on a daily basis including implementing clients who send proprietary format claim files.
* Conduct necessary testing and in-depth analysis to resolve any potential issues prior to rolling clients into the production environment.
* Constructively present testing results and propose adjustments that will improve service delivery to our clients and strengthen our ongoing partnership.
* Monitor, audit, and report on the processing of newly implemented clients/features to confirm their successful transition to the production environment.
* Support testing for rollouts of new products as well as internal system migrations.
* Proactively prioritize, communicate, and resolve any process or system issues.
* Analysis and reporting on client enquiries. Finding gaps and proposing viable solutions.
4. Manage requests and incidents using problem solving and critical thinking abilities
* Promptly triage and resolve escalated EDI issues called into the Multiplan Service Desk.
* Independently build and manage the monitoring requirements of clients on a daily, weekly and monthly basis.
* Communicate system and interface availability, modifications, and problems to internal and external stakeholders as needed and according to established policies and procedures.
* Support clients with their non-standard requests for ad hoc reports, testing analysis and other technical deliverables.
5. Implement process improvements to enhance the efficiency of claims workflows.
* Partner with other IT teams to... For full info follow application link.
As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law. Â Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
