Provide the tools necessary to deliver cutting-edge health care and groundbreaking research. As part of our Information Technology team, you’ll ensure that our medical professionals have access to the latest breakthroughs in technology, and you’ll play a key role in protecting our global patient community.
In this role, you will serve as a liaison between business stakeholders and Application/IT teams, translating business needs into requirements and supporting system solutions for encounter data operations.
You will:
• Gather and document business and functional requirements, process flows, business cases, system specifications, test cases, and other SDLC materials.
• Analyze data, business processes, electronic transactions, and file exchanges to identify system gaps and opportunities to improve processes.
• Coordinate testing with trading partners and certification authorities.
• Support the design, development, testing, and implementation of software and Tapestry ISS enhancements.
• Develop and maintain interface documentation, policies, and procedures.
• Investigate operational issues and variances, prepare stakeholder reports, and present findings and recommendations to leadership.
• Support internal and external audits, quality control, regulatory requirements, and operational standards.
Salary Range: $82,434 – $171,779/annually
Note: This posted position is 1 of 2 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions.
We’re seeking a self-motivated and results-driven individual with:
• Bachelor’s degree in business, information systems, healthcare, or a related field required
• 5 or more years of experience managing enrollment, claims, or encounters in a Medicare or managed care environment required
• 5 or more years of experience with CMS processes required
• Computer proficiency with Microsoft Office, SQL, and data visualization tools
• Knowledge of encounter regulatory reporting and compliance requirements
• Experience managing vendors to contractual requirements
• Ability to research and resolve encounter issues
• Understanding of the healthcare model, capitation, and other managed care IPA and provider reimbursement methodologies
• Knowledge of physician/facility billing practices, CPT coding initiatives, ICD-10 coding standards, and revenue and HCPCS coding
• Strong leadership, interpersonal, analytical, problem-solving, and prioritizing skills
• Excellent oral and written communication skills
• Ability to develop, implement, and evaluate methods and systems to improve efficiency
• Ability to work well independently as well as part of a team
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UCLA Health Recruitment is currently being targeted by scam artists through external job board sites. Review some tips in order to avoid becoming targeted. El reclutamiento de salud de UCLA actualmente está siendo atacado por estafadores a través de sitios de juntas de trabajo externos. Revisar algunos consejos para evitar ser apuntado.
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