Team Lead - Claims Processing – Saint Paul

Affiliated Computer Services, Inc., ACS, is a global FORTUNE 500 company with more than 55,000 plus people working together to support client operations in nearly 100 countries. By providing business process outsourcing, human resources outsourcing and information technology solutions to world-class commercial and government clients, ACS offers its associates vast opportunities to succeed. Recognized worldwide for generating possibilities and creating solutions, ACS welcomes you to become part of our growing team. Join our mission and vision for the future. Thank you for your interest!



Team Lead - Claims Processing

Responsibilities Related to the Project

• Leads a team responsible for claims processing functions, coordinating work assignments, resolving system design issues, and ensuring compliance with system development standards and methodologies
  
  
• Creates and supports a team environment; ensures that members of the team are cross-trained in different Alaska Health Enterprise components
  
  
• Serves as a Subject Matter Expert to the team and the customer, sharing knowledge during interaction with the customer; is familiar with subsystem artifacts, recognizes gaps within requirements that must be addressed
  
  
• Conducts and supervises detailed requirements analysis, development, and system testing of claims processing components
  
  
• Directs the team effort in identifying issues, developing options to resolve risks, conducting requirements analysis and elaboration of changes to artifacts
  
  
• Reviews Claims Processing Use Cases and provides input on changes to workflows
  
  
• Ensures quality of design deliverables and works with developers to resolve requirements issues and validate requirements are being met
  
  
• Supervises development of test plans, including detailed test cases and test data, reviews test progress and reporting documents
  
  
• Interprets system/integration test results and develops solutions to problem areas and to ensure that code has been fully tested for performance
  
  
• Assists in file conversions; checks the accuracy of converted information, identifies discrepancies, and recommends corrective actions
  
  Required Qualifications
  
  
• BS/BA degree preferred or equivalent work experience
  
  Preferred Prior Experience (meets one or more criteria)
  
  
• Team Lead (or Senior Business Analyst) in a related area during a development project for an automated MMIS or for another automated health care claims processing system
  
• Strong overall understanding of MMIS related claims processing and Medicaid program operations
  
• Prior experience with web portal technology for claims capturer and processing
  
• Prior experience with health care customers and system performance expectations
  
  
• Prior management experience responsible for supervising teams of business support analysts
  
  ACS is an Equal Employment Opportunity/Affirmative Action Employer and does not discriminate against any applicant on the basis of race, color, religion, national origin, age, gender, marital status, disability, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance.
  
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