Infor

• Serve as the internal and client-facing subject matter expert on healthcare claims operations, EDI transaction standards, and payer-side adjudication logic throughout the Incedo onboarding lifecycle • Translate client payer workflows and claims processing requirements into detailed business and functional specifications for the Incedo implementation team • Advise clients on best practices for configuring claims intake, adjudication rules, coordination of benefits (COB), appeals and grievance workflows, and remittance processing within Incedo • Identify gaps between client legacy processes and Incedo capabilities; document and escalate to product/engineering as applicable • Lead business analysis workstreams during new client onboarding, including requirements discovery sessions, workflow mapping, and gap analysis documentation • Develop and maintain detailed business requirements documents (BRDs), functional specifications, data mapping templates, and EDI companion guides customized to each client’s trading partner environment • Monitor and communicate updates to X12 transaction standards, ICD/CPT/HCPCS code set releases, and CMS NCCI edits that may affect client configurations

Oversee marketing performance optimization by developing measurement strategies and metrics. Establish a team for analytical reporting, utilizing predictive analytics to forecast trends and drive AI-driven insights across marketing initiatives.