Healthcare Functional Analysts

HEALTHCARE FUNCTIONAL ANALYST ONSITE (BALTIMORE, MD)

Location: Canton Crossing Baltimore, MD (21224)Type: Contract-to-Hire (6 months CTH)Schedule: 40 hours/week | 8:00 AM – 4:30 PM (some flexibility may be available later)Pay (W2): $33.00/hr (no PTO)Work Setup: 100% onsite | must have your own laptop

JOB OVERVIEW

In this role, you’ll support an Operations team within a healthcare claims environment by researching issues, validating data, and helping improve day-to-day processes. You’ll work heavily in Excel (daily), contribute to documentation/SOPs, and partner with internal customers to answer questions and provide operational support.

You’ll ramp with training/resources providedstarting with mail operations-related tracking/research and moving into broader claims and appeals support work.

WHAT YOU’LL DO

• Research operational/system issues by gathering facts, identifying root cause, and helping drive resolution
• Validate claims-related data and ensure accuracy (investigate exceptions, reconcile details, run checks)
• Build and maintain Excel trackers and reports (including pivot tables and lookup functions)
• Support claims and appeals processes through research, documentation, and follow-up
• Provide operating information to internal customers, answer questions, and support basic training/process guidance
• Help develop and maintain SOPs and other essential documentation
• Support testing efforts by helping define test approach, executing tests, and documenting results
• Multitask and pivot between priorities throughout the day in a hands-on, onsite environment

REQUIRED QUALIFICATIONS

• Bachelor’s degree, OR equivalent experience
  • In lieu of a Bachelor’s degree: additional 4 years of relevant experience (in addition to required experience)
• 2+ years in an operational/functional analyst-type role (Functional Analyst, Claims Analyst, Claims Processor, etc.)
• 1–2 years of data entry experience
• Intermediate to advanced Excel (pivot tables, VLOOKUP/lookup functions; comfortable working in spreadsheets daily)
• Strong analytical/problem-solving skills and high attention to detail
• Strong communication and organization skills; able to meet deadlines and work independently
• Able to work onsite full-time in Baltimore, MD (21224)
• Must have your own laptop

NICE TO HAVE

• Healthcare / Health insurance / Medical operations background
• Claims processing familiarity (strong plus)
• Basic medical billing familiarity
• ICD-10 exposure
• Experience with tools such as Luminex (plus, not required)

System One, and its subsidiaries including Joul and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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