Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
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Integration Support Specialist
PRIMARY PURPOSE : To lead the analysis efforts for bill review technology and claims management processes supporting operations; to review, analyze and document internal and client user needs; and to ensure alignment of software and related business processes to strategic goals of operations.
The ideal candidate will have bill review industry experience. The primary role is an integration support analyst; however, additional functions and responsibilities include troubleshooting and production support for reported operational and system issues.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Leads the requirements management efforts for large projects; devises and executes a requirements management plan for assigned projects; and takes ownership of the bill review business analysis role throughout the project.
Works with project managers, project requestors, operations, business representatives, IT representatives and clients to ensure complete understanding of software requirements; reviews software requirements work of other team members to ensure alignment to requirements management governances for the requirements management discipline.
Produces project requirements documentation including written documents, process diagrams, report mock-ups, wire frames and other documentation as required, using standard templates.
Provides business related IT knowledge to clients and business representatives during the requirements management process.
Completes client data conversions by working with vendors within expected timeframes set by Implementation.
Prepares reports using various system programs and coordinating with other departments.
Maintains and verifies client parameters in the bill review system and researches issues to resolution.
Ensures the process/procedural changes are developed and communicated to field offices, IT, Client Services and other applicable business units in regard to regulatory requirements and changes.
Assists in delivery of focused training.
Works with Product Manager in monitoring field performance and determining priority of system enhancements.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.
QUALIFICATION
Education & Licensing
Bachelor's degree from an accredited college or university preferred.
Experience
Six (6) years of related experience or equivalent combination of education and experience required. Experience in medical bill review processes and system requirements strongly preferred.
Skills & Knowledge
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Excellent negotiation skills
Self motivated
Ability and willingness to take initiative
Ability to work in a team environment
Ability to meet or exceed Service Expectations
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical : Computer keyboarding, travel as required
Auditory/Visual : Hearing, vision and talking
NOTE :
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ( $65,000 - $67,000) . A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Taking care of people is at the heart of everything we do. Caring counts
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)
