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Subject: QNXT Claims Manager Location: Los Angeles, CA Duration: 3 Months Contract *Reply Me At j...@itbtalent.com <j...@itbtalent.com>* Main Responsibilities •Managing day-to-day operations of claims process •Inventory management, staffing, and capacity management •Monitoring of operations performance indicators •Identify root causes for any gaps •Work with appropriate departments for any gaps and issues •Create governance model with client •Employee management including coaching and feedback •Daily, weekly, monthly reporting on key metrics •Ensure quality of project deliverables/artifacts •Provide input and approval for project requirements •Partner with other departments to ensure that team aligns with organizational objectives •Assist team members with issue resolution throughout the project life cycle •Assess impacts to customers business due to changes •Collaborate as needed with project managers to establish project timelines, particularly for high visible and sensitive projects •May develop proposals for management team or Plan as needed •Participate in project meetings as needed, which may include meetings with customers and/or management •Participates in the on boarding on new resources to the team •Complex healthcare payer claims processing •Exhibit a spirit of teamwork and contribute ideas for division and company success Qualifications •Bachelor's degree in business or work equivalent Skills •8+ years experience as Business Systems Manager or related technical position •Previous experience participating in large software development or implementation projects •Previous experience in developing and implementing software testing strategies •Previous experience working with customers and end users •Proficient in Excel, Word, Outlook, Powerpoint software tools •Excellent written and oral communication skills •Ability to develop good, effective working relationships with customers through minimal contact •Exceptional attention to detail •Strong sense of urgency •Experience on QNXT claims platform •Health insurance background •Strong analytical abilities •Experience in identifying upstream and downstream system impact Experience •Minimum experience 8-10 years as a Manager/Supervisor for Claims operations •Analytical skills and ability to work through ambiguity •Strong QNXT knowled •Knowledge of processing SPD/Institutional and Medical Only claims on QNXT•Should have the ability to work in high pressure environment •Medical Claims Knowledge - Payer Claims Processor, or Medical Billing, or Customer Service Representative for healthcare payer •Ability to quickly adapt to process changes •Comfortable working in a production environment •Recent work history that supports excellent organization, problem-solving, communication, teamwork and interpersonal skills •Demonstrated flexibility and willingness to change as business needs change within the organization •Proven written and verbal communication skills essential •Proven problem solver who can work under their own initiative •Good analytical, problem solving, Communication and Interpersonal skills Regards, Jack Anderson -Sr.Technical IT Recruiter ITBrainiac Inc., j...@itbtalent.com Direct : 609-935-3773 X 103 116 Village Blvd, Suite 200 - Princeton, NJ 08540 www.itbrainiac.com -- You received this message because you are subscribed to the Google Groups "SAP BASIS" group. To unsubscribe from this group and stop receiving emails from it, send an email to sap-basis+unsubscr...@googlegroups.com. To post to this group, send email to sap-basis@googlegroups.com. Visit this group at https://groups.google.com/group/sap-basis. For more options, visit https://groups.google.com/d/optout.
