Reliant Staffing Solutions
Flint, MI, USA
Position Summary: At the direction of the assigned leadership, interprets business rules, federal and state guidelines and prepares specifications for all information systems, including benefiting and pricing requirements for claims processing. Develops and maintains reporting as needed by leadership and operational objectives. Assists in the enforcement of product, reporting and service controls and standards, deadlines, and schedules by creating and maintaining detailed development plans. Defines test scenarios, involved in testing, and approval of testing results for implementation to ensure business requirements are met. Responsible for change management that impact claims configuration for all systems. Essential Functions and Responsibilities: 1. Interprets business rules, Federal and State guidelines, including but not limited to outpatient coding to create rules for processing within systems to ensure requirements are met. 2. Responsible for auditing...