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Rising Medical Solutions

Medical cost containment and care management

Systems Analyst 2

Business AnalysisConfirmed live in the last 24 hours
Full-timeRemote in USANo salary listedRemote

About the Job

Requirements

  • A bachelor's degree or equivalent is required; an IT-related field is preferred.
  • At least two full years of experience in a business systems analyst or equivalent role is required.
  • Experience with workers' compensation insurance, group health insurance, medical bill review, and/or relevant healthcare industry systems and processes is required.
  • Experience with requirements analysis, interacting with business users to define clear scope, and contributing to cross-functional teams is required.
  • Analytical, communication, and problem-solving skills applied to resolving application design considerations and technical issues are required.
  • Working knowledge of database and data modeling tools and concepts is required.
  • Working knowledge of business-to-business data transactions and experience writing detailed mapping instructions to transfer data between distinct models are required.
  • Experience analyzing XML or EDI messages is required.
  • Strong working knowledge of SQL and database concepts to aid in data analysis is required.
  • Ability to communicate technical information clearly and participate in collaborative meetings with representatives from internal departments and clients is required.
  • Skill in using computerized spreadsheet, relational database, and word processing software is required.
  • Ability to process computer data and format and generate reports is required.
  • Experience creating detailed visual models to support requirements, including data flow and workflow diagrams, is required.
  • Ability to conform to shifting priorities, demands, and timelines is required.
  • Ability to quantify results in terms of cost savings and key performance indicators is required.
  • A demonstrated history of proactively identifying improvement opportunities in systems and methodologies is required.

Responsibilities

  • Translate business requirements into technical requirements and ensure system requirements reflect defined business processes and support all components of the functional business requirements.
  • Communicate requirements and collaborate with developers, quality assurance analysts, and other project team members to implement or enhance systems.
  • Represent Rising in client and partner meetings for system implementations.
  • Develop subject matter expertise in one or more aspects of integrations between company and external systems and/or internal systems.
  • Assist with production support by investigating issues, conducting root cause analysis, and reporting and communicating detailed findings when necessary.
  • Develop use cases and process/data flow diagrams.
  • Support the creation of, and/or create, test plans and relevant training materials.
  • Review systems and identify enhancements that support company strategies and affect key performance indicators.
  • Conduct training for other Professional Services team members to transfer subject matter knowledge.

About the Company

Rising Medical Solutions

Medical cost containment and care management

Rising Medical Solutions is a national managed care firm offering medical cost containment and care management for workers’ compensation, auto, liability, and group health markets. Its flagship bill review saves over 60% by applying fee schedules, network discounts, nurse audits, provider negotiations, and fraud detection, while its broader programs cover the full medical care continuum. The proprietary VISION platform is a single-sign-on medical management system that provides claims professionals with referrals and management tools across the entire care process. The company also publishes the annual Workers’ Compensation Benchmarking Study to inform the industry and drive improvements in claims management. Its goal is to lower claim costs, improve care outcomes, and deliver a smooth experience for everyone involved in the medical care and claims process.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Chicago, IL
Founded
1999

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