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Senior Rules Architect
A company is looking for a Senior Rules Architect, Denials. Key Responsibilities: Collaborate with service lines and business leaders to enhance the impact of Denials Rules and drive process improvements Monitor and analyze rule performance, providing actionable insights for optimization Manage multiple projects across various types, ensuring effective tracking and implementation Required Qualifications: Intermediate+ level experience with SQL programming Experience with ETL processes in a SQL environment Understanding of ICD-10, HCPCS/CPT coding, and medical terminology Proficient in Microsoft Excel; experience with Microsoft Access is a plus Strong analytical skills with the ability to conduct macro and micro-level data analysis
A company is looking for a Senior Rules Architect, Denials.
Key Responsibilities:
Collaborate with service lines and business leaders to enhance the impact of Denials Rules and drive process improvements
Monitor and analyze rule performance, providing actionable insights for optimization
Manage multiple projects across various types, ensuring effective tracking and implementation
Required Qualifications:
Intermediate+ level experience with SQL programming
Experience with ETL processes in a SQL environment
Understanding of ICD-10, HCPCS/CPT coding, and medical terminology
Proficient in Microsoft Excel; experience with Microsoft Access is a plus
Strong analytical skills with the ability to conduct macro and micro-level data analysis