Senior Manager, Claims Technical Analyst, Medicaid Intake Operations

Job Description: • Serve as the Technical Subject Matter Expert (SME) for intake rules and matching logic • Liaise with providers and internal teams to resolve questions about EDI and Claims Intake rejections • Provide second-level expert support for intake claim rejections • Analyze large datasets for research and troubleshooting • Collaborate with Product Owners and IT teams on system enhancements and fixes • Participate in testing and verification of business rules and validations • Manage multiple projects and tasks simultaneously while maintaining high-quality results • Support Product Owners, Business Owners, and Leads using technical and analytical expertise • Communicate effectively across all levels of the organization, including cross-functional teams • Write complex SQL queries to join multiple data sources and analyze data for root causes, trends, and opportunities • Analyze EDI and Claims intake rejections from internal and external inquiries, including provider calls • Track and execute solutions for identified issues • Perform User Acceptance Testing for logic changes and enhancements • Develop utilities, queries, and processes for post-production checkout of business rules and system fixes Requirements: • 5+ years of experience as a SQL Server power user (coding and developing data extracts) • 5+ years of data interpretation and analysis experience • 5+ years querying large datasets using SQL, SAS, or other data tools • Strong documentation skills; writing readable and reproducible code • Process improvement mindset; strives to simplify complex processes • Proficient in Word, PowerPoint, Excel • Experience working independently and prioritizing multiple deliverables • Experience managing conflicting priorities and concurrent projects • Excellent verbal and written communication skills with experience communicating technical information to non-technical audiences Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost wellness screenings • Tobacco cessation and weight management programs • Confidential counseling • Financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access