Senior QicLink Plan System Analyst (Remote)

Company: American National Insurance Company
Location: Miami
Posted on: September 15, 2020

Job Description:

Miami, FL, US, 32003

American National is currently seeking a  Senior Plan Systems Analyst to join our team!

Responsibilities:

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 structure.

Hold interviews, focus groups, document analysis and workflow definitions to determine requirements.

Collaborate with external and internal customers on business needs.

Qualification:

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 instructions.

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 Policy/Plan benefits.

Working knowledge of Microsoft Office.

Preferred Qualifications:

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, Insurance, Marketing

Keywords: American National Insurance Company, Miami , Senior QicLink Plan System Analyst (Remote), Other , Miami, Florida