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NJM Insurance Group logo
NJM Insurance Group

More Than 100 Years of Earning Trust

Business Systems Analyst IV, Benefits Coding

Systems EngineerSystems EngineerFull TimeRemoteSeniorTeam 1,001-5,000Since 1913H1B No SponsorCompany SiteLinkedIn

Location

New Jersey

Posted

46 days ago

Salary

$97.8K - $133.5K / year

Seniority

Senior

High School6 yrs expExperience acceptedEnglish

Job Description

Business Systems Analyst IV, Benefits Coding

NJM Insurance Group

• Lead the process of identifying and recommending coding solutions for enterprise projects and complex benefit coding problems • Validate and approve business requirements • Understand Mandates, Product Development coding grids and BRDs and interpret what is required for benefit updates • Create and deliver work estimates to Project Managers • Document project one-pager dashboards with schedule, budget, blockers, progress • Assist with claims testing scenarios • Document standard operating procedures

Job Requirements

  • High School Diploma/GED required
  • Bachelor degree preferred or relevant experience in lieu of degree
  • 6-8 years of related IT work experience preferably in the health insurance industry
  • Needs strong product and benefit knowledge
  • Prefer experience in benefit coding via HRBK (Via NASCO) or Benefact.
  • Needs strong claims processing skills

Benefits

  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement

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