Job Summary:
The Claim Cycle Functional Analyst II is responsible for supporting record to report capabilities for CareSource medical claim spend in SAP.
Essential Functions:
- Work with information technology teams to ingest transactional data into SAP from CareSource’s claims processor (FACETS)
- Complete complex data extracts utilizing SQL and SAP tables
- Perform intricate data reconciliations across systems
- Ensure medical claim payment data creates accurate and timely financial postings in SAP
- Perform processes to remit claim payments to medical providers
- Ensure post funding data is ingested and posted accurately in SAP
- Partner with finance and information technology teams to improve SAP solutions
- Lead the implementation of financial system enhancements
- Identify and implement process improvements
- Design and create end to end SAP training documentation
- Provide validated and reconciled data extracts for audits and other user requests
- Identify and correct inconsistencies in data sets to maintain data integrity
- Create and execute SAP test scripts to evaluate system functionality
- Partner with finance and information technology teams to map out process flows
- Act as subject matter expert and provide system and process training
- Lead the timely resolution of claim payment processing errors across systems
- Design and create reports
- Perform any other job-related duties as requested
Education and Experience:
- Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or equivalent work experience is required
- Business related post-graduate degree is preferred and provides credit for one year of related experience
- Three (3) years of experience in accounting/finance is required
- One (1) year of experience with SAP or financial systems is required
- SQL experience is required
- Managed care healthcare experience is preferred
Competencies, Knowledge, and Skills:
- Extensive knowledge of SAP tables, integration, and clearing logic
- Ability to work in a fast-paced environment and manage multiple deadlines
- Demonstrates strong analytical/problem solving skills
- Excellent PC skills, including advanced Excel, Word, and PowerPoint
- Possesses strong critical thinking/listening skills
- Detail oriented
- Extensive knowledge of a variety of financial concepts, practices, and procedures
- Ability to communicate with all levels of management
- Excellent oral, written, and interpersonal communication skills
Licensure and Certification:
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- May be required to travel occasionally
Compensation Range:
$79,800.00 - $127,600.00
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
