Jobs at Healthcare Fraud Shield (Now Hiring) — 1 open

Implementation Specialist

Chesterfield, Missouri, United States · Remote OK

Mid level$50M raised

Implementation Specialist Department: Implementation Employment Type: Full Time Location: Headquarters Description As an Implementation Specialist, you will play a key role in the planning and implementation of new clien…

Skills: Project management, Data analysis, Client communication, Health insurance, Microsoft Office Suite

Implementation Specialist

Healthcare Fraud Shield

Chesterfield, Missouri, United States • Remote OK

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Mid level

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Full-time
bachelor degree
Medical insurance, Dental insurance, Vision insurance, 401(k) retirement savings, Vacation time, Sick paid time off
Posted 15d ago
~40 hrs/week
Remote in Chesterfield, Missouri, United States

Responsibilities

The Implementation Specialist manages client installations by overseeing project timelines, analyzing data, and ensuring documentation meets organizational standards. They also facilitate client communication, provide status updates, and collaborate with internal teams to resolve data obstacles.

Requirements

Candidates must hold a bachelor's degree and possess 3+ years of experience with health insurance claim data or a related industry. Proficiency in Microsoft Office and strong project management skills are required to effectively handle client onboarding and data analysis tasks.

Full job description

Implementation Specialist

Department: Implementation

Employment Type: Full Time

Location: Headquarters

Description

As an Implementation Specialist, you will play a key role in the planning and implementation of new client installations including project timeline management, data analysis, ensuring documentation meet organizational standards, handling client outreach and communication, and monitoring and communicating project deliverable deadlines.

Key Responsibilities

Manage assigned implementation tasks to the highest standards.
Apply strong project management and organizational skills to implementation processes.
Utilize analytical and problem-solving skills to identify obstacles and impediments in the client onboarding process.
Perform client data file analysis at various stages throughout the implementation process, assist in documentation related to client data feeds including mapping and special data manipulation needed, and assist in testing for new client implementations.
Ability to work effectively with internal team to discuss and identify resources to efficiently overcome client data obstacles as well as milestone implementation tasks and any special client needs.
Ability to communicate to clients in a professional and timely manner to discuss data needs and concerns, provide status updates, and guide the installation process as needed.
Provide regular status updates to both internal staff and client resources.
Manage project schedules and timelines in project management software and other company project templates.
Always deliver a high level of customer service.
Understands and complies with all company Privacy and Security standards.
Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law.
Other duties as needed which may include data entry and/or other research tasks.

Skills, Knowledge and Expertise

Qualifications:

Bachelor’s degree required, focus Health Insurance or Administration preferred.
3+ years’ experience working with Health Insurance claim data or in a related industry preferred.
1-2 years project management or related experience, preferably supporting efforts to configure and customize a system or product.
Advanced knowledge of Microsoft Office Suite to include Word, Excel, Project, and Outlook.

Skills:

A good working knowledge of web applications is essential to this role. Experience in healthcare IT, clinical informatics, or Healthcare Fraud, Waste and Abuse (FWA) is strongly desired.
Proven knowledge of health care, insurance, medical terminology, CPT, HCPCS, DRG, Revenue, ICD-9, ICD-10 preferred.
Applicant must be proficient in the use of computers and computer applications.
Proven ability to prioritize and organize large volumes of projects.
Adept at solving problems and making decisions.
Excellent communication skills both verbal and written.
Attentive to detail.
Ability to work in a team environment.
Outstanding organizational and time management skills.
Self-motivated.

Benefits

Medical, Dental & Vision insurance
401(k) retirement savings with employer match
Vacation and sick paid time off
7 paid holidays & 2 floating holidays
Paid maternity/paternity leave
Disability & Life insurance
Flexible Spending Account (FSA)
Employee Assistance Program (EAP)
Professional and career development initiatives
Remote work eligible

REMOTE WORK REQUIREMENTS:

Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.

Healthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Related keywords

Implementation SpecialistProject ManagementHealth InsuranceData AnalysisHealthcare ITClinical InformaticsFraud Waste and AbuseFWAMedical TerminologyCPTHCPCSDRGRevenueICD-9ICD-10Microsoft Word

About Healthcare Fraud Shield

LinkedIn Visit site

Healthcare Fraud Shield, a fully integrated AI solution complemented by our rules-based modules for pre and postpayment.

Industry: Software Development
Company size: 51-200 employees
Founded: 2011
Headquarters: Chesterfield, MO
LinkedIn followers: 30,413
Total funding: $50M

Healthcare Fraud Shield provides new and unique Fraud, Waste, Abuse & Error (FWAE) automated solutions to the healthcare industry. Our exclusive data solutions and investigative expertise deliver maximum results in the detection and prevention against fraud. Leveraging our comprehensive fraud experience, we deliver fresh insights and new approaches to combat the largest challenge of our time - the delivery of honest, efficient and compassionate healthcare.

Offices: 16052 Swingley Ridge Road, Suite 200, Chesterfield, MO 63017, US

Healthcare FraudData AnalyticsPayment IntegrityArtificial IntelligenceFWAEFWAPrepayPostpayand AuditSoftware

View all jobs at Healthcare Fraud Shield

About Healthcare Fraud Shield

LinkedIn Visit site

Healthcare Fraud Shield, a fully integrated AI solution complemented by our rules-based modules for pre and postpayment.

Industry: Software Development
Company size: 51-200 employees
Founded: 2011
Headquarters: Chesterfield, MO
LinkedIn followers: 30,413
Total funding: $50M

Offices: 16052 Swingley Ridge Road, Suite 200, Chesterfield, MO 63017, US

Healthcare FraudData AnalyticsPayment IntegrityArtificial IntelligenceFWAEFWAPrepayPostpayand AuditSoftware

View all jobs at Healthcare Fraud Shield

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Jobs at Healthcare Fraud Shield (Now Hiring) — 1 open

Implementation Specialist

Implementation Specialist

Tired of cold applications?

Responsibilities

Requirements

Full job description

Implementation Specialist

Description

Key Responsibilities

Skills, Knowledge and Expertise

Benefits

Related keywords

About Healthcare Fraud Shield

About Healthcare Fraud Shield

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