Miami, FL, US, 32003
American National is currently seeking a Senior Plan
Systems Analyst to join our team!
Analyze Health Policies, certificates and optional benefits to
draft system requirements, create benefit plans and benefit updates
in QicLink claim processing system.
Perform system plan updates for benefit accuracy and identify
errors or discrepancies. If necessary, modify the plan
configuration within QicLink system.
Perform audits of claims attached to plans to determine any
issues with plan specifications within QicLink.
Perform defined claim system testing for software program
installations, claim system interface modules, policy benefit
tables, claim processing editing programs, and other identified
claim system testing.
Develop testing scripts to include as appropriate policy plan
benefits to ensure QicLink system plan benefits are accurately
adjudicating before transferring to production.
Apply company policies and procedures to all claim benefit
Hold interviews, focus groups, document analysis and workflow
definitions to determine requirements.
Collaborate with external and internal customers on business
High school education or GED.
At least 3 years of experience as a Business/systems analyst on
QicLink Plan Building Modules.
Strong planning, organization and multitasking skill.
Excellent communication skills especially, in regards, to
listening, understanding and interpreting requirements and
Work in an independent and team environment.
Strong analytical and product management skills.
Self-motivation and able to research independently and
comprehend detailed information regarding Plan Systems and Claim
Working knowledge of Microsoft Office.
Bachelor’s degree from an accredited university.
Experience working with HIPAA X12 837, NCPDP transactions,
270/271 HIPAA transactions.
This role offers remote capabilities.
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“If you believe you can make a difference in the lives of our
clients, if you’re willing to work hard, if you want a fulfilling
career, and if your values match ours, then I want you to work for
American National. ” – James Pozzi, President and CEO.
Nearest Major Market: Jacksonville
Job Segment: Systems Analyst, Claims, Testing, Technology,