[Hiring] Workers Compensation Bill Review Systems Analyst @Paradigm

Role Description

We are seeking a full-time, remote Worker's Compensation Bill Review Systems Analyst. The Bill Review Process Analyst is responsible for analyzing Bill Review operational processes to identify and implement changes to improve productivity, reliability, quality, and efficiency and serves as the system administrator and subject matter expert.

The ideal candidate will have experience implementing system change (rule writing, etc.) on a worker's compensation bill review system (Smart Advisor or similar), analytical skills, and familiarity with state/NCCI reporting.

The schedule for this position is Monday - Friday, 8 AM to 5 PM Central Time. This position may require travel 1-2 times per year.

Responsibilities include (but are not limited to):

• Serve as system configuration subject matter expert: understand, document, and be able to explain how the bill review system applies rules and settings to process bills.
• Work closely with Bill Review leaders to implement any changes to bill review processes including editing of rules and configuration / reconfiguration of systems.
• Perform data gathering, root cause analysis and performance trending in order to develop appropriate process control changes.
• Prepare communication plans regarding process re-engineering for multiple stakeholders.
• Inform respective teams on process improvement and re-engineering strategies.
• Coordinate internal compliance auditing, monitoring and review activities in conjunction with the Clinical Bill Review department.
• Provide testing and system support in relation to data reporting processes and requirements.
• Update and maintain documentation on system configuration as changes are implemented.
• Assist Project Managers and Program Managers in strategic projects and key initiatives.
• Identify and resolve company, state/NCCI reporting, and/or client data issues, including with vendors as applicable.

Qualifications

• 5+ years’ experience in process/systems analysis, engineering, and/or process improvement including executing at least two major process creations or transformations.
• 5+ years’ experience generating and analyzing reports to monitor productivity, throughput, and/or other operational KPIs.
• 3+ years’ experience working in bill/claims processing systems in the Workers Compensation industry across multiple jurisdictions.
• Proven working experience in project and change management.
• Excellent client-facing and internal communication skills.
• Excellent written and verbal communication skills.
• Solid organizational skills including attention to detail and multitasking skills.
• Strong working knowledge of Microsoft Office and Visio.
• Bachelor's Degree in appropriate field of study or equivalent work experience.

Benefits

• Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives – competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
• Vacation - paid time off and personal holiday programs for work-life balance.
• Volunteer time – one paid day per calendar year for community engagement.
• Learning and development – support for continual learning through the Learning Excellence at Paradigm (LEAP) program.