SKYGEN

Role Description - 100% remote role offering flexibility and work-life balance. - Lead and develop a team of 12-15 direct reports, supporting a collaborative, performance-driven culture. - Operate within daytime hours (8:00–4:30 CST), with shared leadership support for off-shift coverage on a rotating schedule. - Hands-on leadership role where you can make an immediate impact and grow your career. Responsible for overseeing the Claims Intake department offering supervision and leadership to ensure day-to-day business needs are completed accurately and timely and in accordance with client and regulatory requirements. What will YOU be working on? - Act as a subject matter expert for the Claims Intake team; answering questions to internal and external contacts and resolving matters that may fall outside of the established workflows. - Assist with escalated issues on behalf of Claims Intake staff. Work with internal staff as needed to ensure resolution of escalated issues. - Assist as a point of contact for system upgrades for the team. Coordinates testing with the team, and other operational departments and reports issues appropriately for resolution. - Oversee staff timecard and PTO requests to ensure timely and accurate reporting, and adequate coverage to meet client Service Level Agreements. - Works within Operational budget requirements. - Manage the daily work plan assignments and monitor work volumes to ensure all submissions and/or special handling requests are completed within client specific timeframes. - Provide support to the Claims Intake team. - Maintain and monitor individual/team performance to ensure compliance with department guidelines, standards and established expectations. - Evaluate employee and team performance to identify training and development needs. - Collaborate with Manager and Support Specialist to develop, maintain and facilitate all training and materials to ensure staff is appropriately trained to successfully perform their roles. - Proactively communicate updates and changes to client requirements and reference materials in a timely manner. - Facilitate quick and accurate issue resolution by developing and maintaining collaborative working relationships with internal departments. - Proactively identify potential issues and communicate to management. Ability to critically think about how workflow decisions will impact department along with downstream impacts. - Partner with Manager in implementing process improvements. Work closely with management team in identifying process, tool and efficiency improvements. - Assist in the development of workflow documentation and policies and procedures. - Assist in the ongoing evaluation of policies and procedures and assist in development and implementation of new efficiencies based on assessments. - Participate in internal and external audits and provide thorough documentation and research as needed. - Work with Manager to identify, develop and implement best practices to ensure improved efficiency, cost effectiveness, and that contractual requirements are met and/or exceeded. Qualifications - High school diploma or equivalent. - 2-4 years of prior job-related experience in a leadership role. - Excellent written and communication skills. - Excellent customer service skills including active listening and the ability to diffuse difficult situations. - Ability to use effective judgment and prior experience to troubleshoot common issues. - Ability to organize work appropriately to meet deadlines. - Ability to utilize resources to solve problems independently. - Excellent time management skills and can demonstrate ability to make appropriate decisions when faced with conflicting deadlines or needs. - Intermediate knowledge of Microsoft Office products (Word, Excel, and PowerPoint). Requirements - Associate or bachelor’s degree. - Experience working in a dental or medical environment. - Knowledge of Enterprise System. - Advanced knowledge of Microsoft Office Suite (Word, Excel, PowerPoint).

Role Description Important things YOU should know: - Training & Production Schedule: Monday - Friday, 8:00am - 4:30pm CST - Please know hours of operation are 8:00am – 6:00pm CST so shift could flex based on business need. - Fully Remote - Customer Service in Dental or Health Insurance experience a plus! What will YOU be doing for us? - Increase member, provider and client use of our web based solutions for claims submission, payments, and authorizations. What will YOU be working on? - Provide education to callers on the benefits of utilizing the member and provider insurance portals. - Service dental, medical, vision and physical therapy members and providers using the member and provider portals offered by SKYGEN USA. - Provide feedback to multiple internal departments regarding issues found on the member and provider portals. - Ensure all calls are answered according to company and client guidelines. - Accurately document call information and resolution in internal systems while engaging with members and providers. - Properly identify potential issues that are not easily resolved and escalate appropriately to Manager. - Perform outbound calling projects as directed. Additional Responsibilities: - Utilize multiple modules in the Enterprise System to research portal questions. - Work with internal departments to produce, maintain, and deliver portal training references and materials. - Work with call center to resolve outstanding follow ups generated from incoming calls. - Using automated systems, maintain updated data on portals by verifying accuracy and handling any exceptions or issues. - Act as a liaison between portal users and clients to resolve escalated issues. - Provide recommendations on system enhancements and process improvements to management. - Assist department with administrative tasks and additional duties as needed. Qualifications - High school diploma/GED required - 1 year of customer service experience (Call Center, Provider Relations). - Intermediate knowledge of Microsoft programs (Word, Excel, and email) - Excellent attention to detail - Excellent oral and written communication skills - Ability to successfully meet timelines for project plans - Strong navigation skills and the ability to multi-task Requirements - Associates degree/2 year degree in related field (preferred) - 1-3 years of customer service experience (Call Center, Provider Relations) (preferred) - Knowledge of contract terminology (preferred) - Understanding of reimbursement methods (preferred) - Knowledge of dental, medical, physical therapy and vision products and terminology (preferred)

Role Description This position is eligible for fully permanent remote work, allowing you to work from anywhere. - Schedule: Monday to Friday, with typical day shift hours from 8:00 AM to 5:00 PM CST. - Possible Weekend or Extended Hours: There may be occasional weekend or extended hours to meet contract deadlines or urgent requirements. - Holiday Coverage: Some flexibility will be needed for holiday coverage depending on business needs. What will YOU be doing for us? - Review, analyze, and process complaints and appeals regarding dental and vision services. - Communicate with both internal and external entities to resolve complex payment disputes, quality of care issues, and requests for appeal regarding the denial of healthcare and/or dental services. What will YOU be working on every day? - Analyze, triage, investigate, research, and process standard and escalated appeals, complaints or state complaints from members, providers, health plans, and state agencies. - Communicate effectively with internal staff, members, and providers in the investigation and resolution of various appeals, complaints, and grievances. - Accurate data entry and documentation of all appeal, complaint, and grievance activity for reporting and trending analysis. - Accurately create formal correspondence to confirm receipt and provide resolution for member and provider complaints and appeal requests. - Analyze and process all inbound mail scans and enterprise follow-up communication to the Appeals department. - Maintain strict compliance by utilizing Open Inventory Report, DASH, and regulatory standards for appeal and grievance turnaround times and documentation requirements. - Immediately notify a member of department leadership or quality auditor of potential compliance risk. - Participate in client audits and SKYGEN reaccreditation audits and interviews. - Utilize all job aids, work instructions, and step actions available to maintain current knowledge and understanding of existing processes based on delegated responsibilities. - Participate in job aid creation or updates in collaboration with ACG III and IV. - Utilize assigned team-specific chats while communicating effectively and in a professional manner as it relates to work assignments. Qualifications - Required Level of Education, Licenses, and/or Certificates: High school diploma or equivalent required. - Required Level of Experience: - 1 plus years of job-related experience (such as billing, problem solving, researching, etc.). - 1 plus years of job-related experience interacting with customers and clients. - Required Knowledge, Skills, and Abilities: - Knowledge of general computer software; to include competencies in Outlook, Excel, and MS Word. - Ability to work overtime as needed. - Ability to communicate effectively and engage in a remote environment. - Ability to work through challenging issues with others in a professional manner. - Accurate inventory management including data entry, time management, and typing skills. - Strong verbal and written communication skills. - Ability to draft letters with strong attention to accuracy and grammar. Requirements - Preferred Level of Experience: - Previous experience processing appeals or complaints in a healthcare setting. - 2 years of prior job-related experience (Dental Assistant, Dental Office Manager, Dental front office, or health/dental insurance, including managed care operations, accounts receivable, and/or billing). - Preferred Knowledge, Skills, and Abilities: - Ability to resolve complex problems. - Ability to work autonomously. - Experience working in a dental environment. - Ability to successfully have crucial conversations to resolve assigned appeals or complaints. Benefits - Compensation Range: $17.55/hr – $26.34/hr - Compensation Midpoint: $21.94/hr

Role Description Our Customer Service Representatives must have strong problem-solving skills, coupled with the natural ability to provide empathy for the customer – always taking the time to patiently listen and understand their questions to help find a viable solution, while providing them with a memorable customer experience. - Servicing our Dental and Vision inbound callers with information regarding their eligibility, benefit coverage, authorizations, claims, and assisting them with locating a provider in their area. - Utilize knowledge of claim adjustments and resubmission processes to determine appropriate resolution to provider requests. - Provide feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers receive a prompt resolution. - Support enrollment activities including but not limited to assigning primary care providers, and updating third party insurance information. - Act as liaison between our organization and the client’s Member Services staff to resolve issues such as eligibility and filing appeals and grievances. - Provide updates to providers with questions regarding the status of their credentialing application. - Recognize provider questions that could be handled through the use of the provider web portal and provide education to these callers on the benefits of utilizing the technology available. - Ensure all calls are answered according to company and client guidelines. - Accurately document call information and resolution in our internal systems. - Apply effective diffusion techniques when necessary to ensure our customers feel heard, valued and supported. - Properly identify issues that need to be escalated appropriately to the leadership team. Additional Responsibilities: - Provide recommendations on system enhancements and process improvements to management. - Keep our Provider Relations team updated with provider manual discrepancies, change in locations or any other provider related issues. - Participate in departmental projects when applicable. Qualifications - High school diploma or equivalent. - 1+ years of job related customer service experience within industries such as healthcare, call center, banking or retail. - Basic knowledge of Microsoft Office products including but not limited to Word, Excel, and Outlook. - Ability to work occasional overtime as needed. - Excellent listening and communication skills. - Superior customer service skills including the natural ability to provide empathy. - Strong data entry/typing skills. - Strong navigation skills and the ability to multi-task. - Excellent attention to detail. - Critical thinking skills to quickly analyze and clearly understand a specific request or customer need and then leverage knowledge and resources to provide the appropriate solutions. Requirements - 1+ years of job related customer service experience within the dental, vision or medical industry. - Previous experience working in a virtual environment. - Understanding of dental, vision and/or medical insurance terminology. Benefits - Fully remote opportunity. - Training schedule: 8:00am - 4:30pm Monday – Friday CST for the 1st 12 weeks. - Work schedule (after training): Multiple opportunities available with ranging start times from 7:00am CST to 10:30am CST Mon - Fri. - Hours of operation: 7:00am - 10:00pm CST Monday - Friday so shift could flex based on business need. - $2.00/hour differential on Mon/Tues. - Occasional evenings, weekends and holidays possible during Annual Medicare Open Enrollment: 10/1 - 3/31. - Exceptional professional growth in a fun rewarding environment.

Role Description You will have the opportunity to accurately and efficiently input data from insurance claim and/or authorization requests submitted by health care providers or members into the database system. - Enter data from insurance claim, authorization or member reimbursement requests expediently and efficiently to meet client turnaround times. - Log unclean submissions so rejection letters are generated back to the servicing provider and a record is retained within the system. - Ability to perform repetitive tasks with a high degree of accuracy. - Navigate efficiently and effectively through the imaging software to retrieve claims and authorizations for data entry. - Maintain proficiency with data entry guidelines and unique client requirements. - Accurately identify specific document types that require special handling. - Work collaboratively with other team members to ensure that work is completed in accordance with designated turnaround times. - Support additional workflows as needed due to internal or external requirements. - Alert management of potential issues upon identification of discrepancies. - Provide recommendations on process improvements to increase efficiencies as appropriate. - Utilize resources available to maintain current knowledge and understanding of client processing rules. Qualifications - High school diploma or equivalent. - Successfully complete a pre-employment online alphanumeric data entry assessment. - Strong data entry/typing skills. - Excellent attention to detail. - High degree of accuracy. Requirements - 1+ year experience in data entry or transcribing services, preferably related to medical or dental claim submissions. - 1+ year of successful experience working in a remote environment. Benefits - Career growth in an inclusive culture. - Paid training. - Health benefits. - 401 (k).

Role Description This position is a fully remote opportunity with a schedule from Monday to Friday, 8:00 AM to 5:00 PM CST. There may be occasional weekend or extended hours to meet contract deadlines or urgent requirements, and some flexibility will be needed for holiday coverage depending on business needs. Candidates should have prior experience in a dental or medical setting, along with a strong understanding of healthcare terminology. Medicare/Medicaid experience is strongly preferred. Key responsibilities include: - Act as a main point of contact and subject matter expert for receiving and resolving standard and complex internal and external appeals and complaints. - Provide proactive communication to internal and external team members to reduce escalations and ensure efficient operations. - Analyze, triage, investigate, research, and process standard and escalated appeals, complaints, or state complaints. - Assist internal departments and clients with escalated provider and member concerns. - Act as a liaison between the appeals department and clients for escalated or complex issues. - Serve as a primary resource for department projects and technical support for appeals and complaints processing. - Complete or drive participation in root cause analysis and trending for all activity in assigned markets. - Document all appeal, complaint, and grievance activity for reporting and trending analysis. - Create formal correspondence to confirm receipt and provide resolution for member and provider complaints. - Work collaboratively with internal departments to maintain effective relationships. - Collaborate with ACG IV in training new team members. - Maintain strict compliance turnaround times. - Update Supervisor on significant issues, trends, and potential risk areas. - Utilize effective diffusion techniques to resolve internal and external conflicts. - Assist with job aid creation, training materials, and reporting requirements. - Update resources to maintain current knowledge of dental plans and departmental processes. - Participate in client audits and URAC preparedness. - Act as a backup for department functions as necessary. - Provide information and guidance for incoming call center escalations. - Provide regular feedback about processes and system usage to management. - Conduct quality reviews of new staff when acting as preceptor. Qualifications - High school diploma or equivalent required. - 2+ years of complaints, appeals, and grievances processing for a managed care program or related experience. - Advanced knowledge in MS Word, Excel, and Outlook. - Ability to compose communication letters efficiently and accurately. - Ability to work through challenging issues in a professional manner. - Accurate inventory management, data entry, time management, and typing skills. - Demonstrated attention to detail. - Effective communication skills in a remote environment. Requirements - Post-secondary education in a related field preferred. - Previous appeals experience in healthcare preferred. - 2+ years of related experience such as dental front office, health/dental insurance, or managed care operations preferred. - Previous experience in a leadership role preferred. - Previous experience working with Medicare/Medicaid preferred. Benefits - Fully remote work environment. - Flexible schedule with potential for holiday coverage.

Role Description The Manager, Medicaid Solutions is responsible for developing and executing cost-effective Medicaid programs to enhance Member engagement, quality, and care coordination. Key responsibilities include: - Developing and implementing Medicaid Solutions initiatives to improve access, quality, and efficiency of care. - Building and maintaining strong relationships with Medicaid Clients, state/federal partners, and other stakeholders. - Acting as SME on SKYGEN Medicaid Solution products including Conditional Benefits and Provider Select Suite. - Recommending enhancements to Medicaid Solution products to improve functionality. - Developing and executing engagement strategies unique to targeted Member populations. - Assisting in developing proposal strategies for Medicaid contracts. - Collaborating with internal departments to ensure proposals are comprehensive and competitive. - Staying informed on the latest developments in Medicaid policy and program changes. - Gathering, analyzing, and compiling data related to Medicaid programs and initiatives. - Supervising the efforts of Member outreach staff. - Overseeing the development of reporting specific to each Medicaid Solution initiative. - Resolving complex requests or escalated issues pertaining to Medicaid Solutions initiatives. - Hiring, developing, and motivating staff. - Providing regular updates and presentations to leadership. - Tracking progress of ongoing projects. Qualifications - Bachelor’s degree in Business or related field. - 5-7 years of experience in a health/dental insurance or health/dental care setting. - 5-7 years of experience in a management/leadership capacity. - Strong understanding of Medicaid Programs and regulations. - Experience in leading cross-functional teams, managing projects, and building relationships. - Strong presentation skills. - Ability to design communications and/or trainings for large groups. - Ability to identify trends within data. - Ability to analyze large amounts of data and provide succinct synopsis. - Ability to develop long-term strategies with associated goals for improvement. - Ability to organize work to meet deadlines. - Demonstrated use of Microsoft Office products (Word, Excel, and PowerPoint). Requirements - Master’s degree in Business or similar field (preferred). - Experience with dental, medical, and/or physical therapy administration (preferred). - Knowledge of Enterprise System (preferred). Benefits - Compensation Range: $86,594-$129,892. - Compensation Midpoint: $108,243.

What are important things that YOU need to know about this role? - Remote Work: This position is fully remote eligible. - Travel: Minimal travel is required, with occasional opportunities to visit our offices near Milwaukee, WI. - Preferred Experience: Candidates with backgrounds in the dental industry or Government Medicaid /Medicare programs will be prioritized. Strong experience in Account Management or Relationship Management is essential. What will YOU be doing for us? Act as liaison for clients to ensure day-to-day business needs are supported. Resolve account issues by working collaboratively with internal departments to meet the needs of members and providers within the guidelines of contractual requirements. Maintain effective relationships with client contacts to ensure positive client references and client renewals, facilitate effective resolutions to issues, and identify potential opportunities for additional business. Escalate issues appropriately. (The term ‘clients’ referenced throughout this job description refers to the clients specifically assigned to the Account Manager.) What will YOU be working on every day? - Primary Day-to-Day Contact - Acts as a day-to-day primary contact and liaison for internal and external communications between the client and internal team members. - Manages all requests and needs of a given market(s) for assigned client(s). - Tactfully handles difficult situations weighing contractual obligations and internal options, driving toward a win-win solution. Consults and obtains advice from, Client Experience Manager or Client Experience Executive as needed. - Triages client requests including CSM inquiries and evaluates completeness according to Client Request Process and are in accordance with client contract. For requests that are in accordance with client contracts initiates client contact to remediate gaps in client request and processes according to workflows. For requests outside of client contract requirements escalates to Client Experience Manager and Client Experience Executive for potential upsell opportunities or response. - Maintains effective relationships and understanding of internal and client-specific workflows to facilitate quick and effective resolutions to client concerns. - Escalates high priority issues such as penalties, corrective action plans, complaints, and compliance issues to the Client Experience Manager or appropriate escalation point. - Requests information internally on client contractual obligations. Applies knowledge of contractual requirements to ensure effective discussions around options to customer issues and ensures contractual obligations are met. - Maintains effective relationships with client contacts through regular communication and meetings to ensure satisfaction related to client requests. - Organizes, prepares information, and holds regular client meetings or calls to discuss results and potential opportunities for improvement. Publishes agenda prior to meeting and notes after meeting to attendees. Tracks and follows up on issues; records decisions. - Manages client requests (e.g. new product implementation, new state requirements such as letters, or reports). - Executes the workflows and processes to service the client according as determined by the Client Experience Manager and/or other Client Experience leadership. - Tracks deliverables to ensure commitments are met. - Completes regular internal reporting on client status. - Audits - Assists in communicating client audit information to internal staff and coordinating responses and meetings. - Coordinates onsite audits. - Participates in the determination and implementation of corrective action plans surrounding contractual requirements and/or identified in audits. - Updates request tracking software with status on client communications surrounding audits, CAPs and other projects. - Process Improvement - Maintains knowledge of industry trends to effectively address client concerns. - Discusses client needs and forward opportunities to client experience executive. - Answers existing and potential customer’s questions about services and service methodologies. - Must demonstrate an ability to learn and work in complex environments with a continual learning approach. - Identifies potential efficiencies and workflow improvements based on knowledge of industry and internal business practices and SKYGEN systems. What qualifications do YOU need to have to be GOOD candidate? - Associates Degree or equivalent years of experience in a client facing role. Bachelor’s degree in a related field highly preferred. - 2-4 years of account management/client relations experience including responsibility for managing client relationship and measurements of success. - Knowledge of Microsoft office products (Excel, Word, and email) at an intermediate level. - Ability to remain organized with multiple interruptions. - Ability to manage multiple priorities and ensure timelines and deadlines are met. - Ability to work with a diverse group of internal and external individuals. - Professional demeanor; Effective customer service mindset and communication skills both in person and in written documents. - Ability to effectively present thoughts and respond to questions in a public speaking opportunity. - Ability to follow, design, document workflows necessary for good business practice. Knowledge of or ability to learn and use Microsoft Visio (preferred). What qualifications do YOU need to have to be a GREAT candidate? - Bachelor’s degree in Business, Marketing, or other related field of study. - Knowledgeable of various dental and health care products/insurance. - Knowledgeable of medical terminology, procedures, and EDT procedure coding. - Project Management Experience - Basic understanding of SQL - Skilled in workflow processes and Microsoft Visio. The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range. Compensation Range: $65,544 - $98,316 Compensation Midpoint: $81,930 SKYGEN is the trusted partner for specialty benefits payers and government agencies responsible for the delivery and administration of dental and vision benefits. Through cutting-edge technology and service solutions, SKYGEN empowers clients to become the most efficient, effective healthcare organizations in the country.

What are important things that YOU need to know about this role? - You’ll lead projects from start to finish. You are responsible for planning, directing, and coordinating multiple operational‑level internal and client‑facing projects to ensure goals are met on time, within scope, and with high‑quality outcomes. - You’ll juggle multiple priorities and stakeholders every day. This role requires strong organization and communication skills to manage concurrent projects, define scope, coordinate cross‑functional teams, track progress, and keep stakeholders informed. - You’ll enjoy the flexibility of remote work. This position supports work‑from‑home arrangements while maintaining strong collaboration and accountability with teams, clients, and partners. - Industry experience will set you apart. Experience working within the health care industry—especially dental and/or vision—is strongly preferred and will help you quickly navigate systems, processes, and stakeholder needs. What will YOU be doing for us? Responsible for planning, directing and coordinating activities of designated projects to ensure the goals and objectives are met within the established timeframe. What will YOU be working on every day? - Manage multiple operational level corporate and/or department internal and client facing projects simultaneously while effectively managing timelines, due dates and deliverables and quality outcomes, and resources. - Define project scope (i.e., people, process and technology) and goals to provide guidance and direction throughout project. - Develop full scale project plans using a consistent methodology. - Learn and retain information to ensure understanding and follow through on all deliverables throughout all project lifecycle phases including requirements gathering and analysis, project planning and scheduling, implementation, and post rollout support. - Assess and analyze business requirements to guide through design and delivery of technical solutions. - Recognize and suggest potential system and process enhancements that could be made to increase effectiveness or efficiency. - Coordinate communication and priorities of all members of the project team and across departments, as needed. - Provide direction and delegate tasks to project team members and ensure follow-through on deliverables. - Initiate and maintain positive relationships with project participants (internal staff, clients, vendors, etc.) to coordinate efforts and ensure efficient management of projects. - Track project progress and provide status updates to key stakeholders. - Assist in the development and implementation of contingency plans. What qualifications do YOU need to have to be GOOD candidate? - Required Level of Education, Licenses, and/or Certificates - Bachelor’s degree in Business, Information Technology, or other related field or equivalent years of internal experience and/or PMP certification - Required Level of Experience - 3 to 5 years in project management. - Required Knowledge, Skills, and Abilities - Knowledge of commonly used project management tools. - Ability to plan for contingencies and anticipate problems. - Ability to effectively listen and respond to customers’ needs. - Ability to effectively convey and receive ideas, information, and directions. - Ability to build and maintain work relationships and contacts needed to effectively address issues and obstacles. - Ability to display strong written and verbal communication skills. - Ability to remain organized despite multiple interruptions. What qualifications do YOU need to have to be a GREAT candidate? - Preferred Level of Education, License, and/or Certificates - PMI Certification - Preferred Level of Experience - Experience in health insurance industry The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range. Compensation Range: $ 69,899-$104,849 Compensation Midpoint: $87,374 SKYGEN is the trusted partner for specialty benefits payers and government agencies responsible for the delivery and administration of dental and vision benefits. Through cutting-edge technology and service solutions, SKYGEN empowers clients to become the most efficient, effective healthcare organizations in the country.

What are important things that YOU need to know about this role? - Fully and permanently remote – work from anywhere within the U.S. - Strong communication skills required – ability to translate technical language into clear, understandable terms for all audiences. - Client-focused approach – capable of educating and inspiring confidence in clients through expertise and professionalism. - Industry experience required – background in dental, vision, or medical fields is essential. What will YOU be doing for us? Collaborate with external partners using Enterprise System expertise and business process knowledge to identify, analyze and translate business requirements to implement client programs, including configuration, introduction of new efficiencies and automation, and identifying risks and issues related to missing functionality and program delivery. What will YOU be working on every day? - Identify, analyze and translate business requirements through written documentation and interview processes to implement and configure new efficiencies and automation in the Enterprise system - Collaborate with stakeholders to ensure solution meets business needs and requirements - Identify risks and issues related missing functionality or feature sets, and seek core system support on complex matters - Introduce best practices when training users and configuring the Enterprise System - Conduct training sessions with end users, including new release upgrades - Support training team with documenting and delivering quality training material for business users - Lead analysis of business requirements and develop and socialize optimization strategies - Recommend solutions to streamline and scale existing workflows - Lead meetings with the stakeholders and communicate appropriate status, risks, and issues - Host client meetings and presentations to share findings with solutions - Lead efforts to prioritize initiatives based on business needs and requirements - Contribute to the development of project plans - Support client(s) with user acceptance testing and reviewing documented results - Assist with documentation, mapping and validation efforts to migrate legacy data - Assist with workflow planning, documentation, mapping, and user testing of integration points What qualifications do YOU need to have to be GOOD candidate? - Required Level of Education, Licenses, and/or Certificates - Bachelor’s degree in Computer Science or related field - Required Level of Experience - 3-5 years of related experience in a technical analysis role within a healthcare operations environment: IT analyst, system implementation analyst, system integration analyst, etc. - Required Knowledge, Skills, and Abilities - Experience with SQL - Ability to plan for contingencies and anticipate problems - Ability to effectively listen and respond to customers’ needs - Ability to effectively convey and receive ideas, information, and directions - Ability to build and maintain work relationships and contacts needed to effectively address issues and obstacles - Ability to display strong written and verbal communication skills - Ability to remain organized despite multiple interruptions - Ability to ask critical questions to assess needs and requirements - Ability to explain complex concepts easily - Ability to successfully meet timelines for project plans and manage time effectively - Ability to translate business goals and requirements into documented requirements - Ability to travel to client sites - Build strong relationships with business partners - Successfully manage competing priorities and navigate within ambiguity What qualifications do YOU need to have to be a GREAT candidate? - Preferred Level of Education, License, and/or Certificates - Certified Business Analysis Professional - Certified Quality Technician - Certified Quality Engineer - Certified Quality Auditor - Preferred Level of Experience - Experience in healthcare claims administration, and/or SaaS experience - Preferred Knowledge, Skills, and Abilities - Knowledge of industry standards - Knowledge of Enterprise System - Demonstrates competencies in a variety of quality philosophies, systems, and tools The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range. Compensation Range: $92,472-$138,708 Compensation Midpoint: $115,590 SKYGEN is the trusted partner for specialty benefits payers and government agencies responsible for the delivery and administration of dental and vision benefits. Through cutting-edge technology and service solutions, SKYGEN empowers clients to become the most efficient, effective healthcare organizations in the country.