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VA Claims Support

Trilogy Federal·See all Trilogy Federal jobs on Jobr

Posted 2 days ago

RemoteWashington, D.C.90k - 100k USD
Trilogy Federal drives innovative solutions for complex business challenges across financial management, healthcare, and government industries. Our collaborative, client-first service approach, combined with our commitment to the rapid implementation of pragmatic solutions, has earned Trilogy an unparalleled reputation for delivering transformative results.

Trilogy Federal is seeking a highly skilled and motivated Business Analyst – ClaimsXM/ECAMS Support to join our team. The ideal candidate will possess experience in claims data analysis, business process analysis, and process improvement. This role requires strong analytical and stakeholder engagement skills to support requirements development, data-driven decision-making, and optimization of claims processes. Knowledge of VA claims transactions (837 and 835) is required. 

Demonstrated experience with Acentra (formerly CNSI) Electronic Claims Adjudication Management System (eCAMS) Electronic Healthcare Claims Edition/Engine (HCE) and Pegasystems (PEGA) Smart Claims is desired, along with familiarity with other legacy platforms and solutions supporting the Veterans Family Member Program (VFMP) claims processing.  

This position may require occasional travel in support of client needs and expectations. 

### Primary Responsibilities
  • Collect the requirements for automating the manual entry for claims 
  • Identify opportunities for process improvements and contribute to developing business requirements to enhance system and overall program performance. 
  • Reduce the errors/rejection of claims processing 
  • Lead multi-stakeholder workshops and presentations, clearly articulating integration priorities and constraints to both executive and technical audiences. 
    • ### Minimum Requirements:
  • Bachelor’s degree required. 
  • Veteran Affairs Claims system/processing experience 
  • Minimum 4 years total experience. 
  • Agility and ability to change course based on shifting plans, priorities, and timelines. 
  • Strong analytical, problem-solving, facilitation, and communication skills, including written, verbal, and interpersonal. 
  • Excellent organizational skills and strong attention to detail. 
  • Ability to prioritize and manage multiple tasks concurrently. 
  • Ability to thrive in a dynamic environment focused on learning, opportunities for impact, and collaboration with colleagues. 
  • Proficient in the following MS Office Applications: Word, Excel, PowerPoint. 
  • The ability to obtain Public Trust Clearance. 
    • ### Preferred Qualifications:
  • Prior experience working in a healthcare organization (e.g., hospital, health system, health insurance company, military health etc.). 
    • ### Benefits (including but not limited to):
  • Health, dental, and vision plans
  • Optional FSA
  • Paid parental leave
  • Safe Harbor 401(k) with employer contributions 100% vested from day 1
  • Paid time off and 11 paid holidays
  • No cost group term life/AD&D plan, and optional supplemental coverage
  • Pet insurance
  • Monthly phone and internet stipend
  • Tuition and training reimbursement
    • Trilogy Federal is an Equal Employment Opportunity employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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    See all Trilogy Federal jobs on Jobr
    Job details
    Workplace
    Remote
    Location
    Washington, D.C.
    Salary
    90k - 100k USD
    per year
    Trilogy Federal logo
    Trilogy Federal
    View company page

    Trilogy’s story began in 2009 when our founders decided to combine the best practices and lessons learned from working across both large and small organizations to launch a new company focused on delivering client-centric, high-quality solutions. Together, these leaders saw an opportunity to create a different type of company with the goal of supporting our Federal clients, with special emphasis on helping our nation’s Veterans. Influenced by two shared work experiences at other organizations, our company’s founders were determined to make the third chapter in their careers the very best it could be. They named this chapter Trilogy. Trilogy was founded with core value system that balances service delivery excellence with a people-centric culture. Building on our foundation of implementing, operating, and modernizing Financial Management systems, Trilogy has evolved to provide our clients and partners with a wide range of professional services via a collaborative, client-first approach to solving their most challenging problems. This approach, combined with our commitment to the rapid implementation of pragmatic solutions, has earned Trilogy an unparalleled reputation for delivering transformative results.

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    Key team members

    Kim Nazi, Ph.D

    Kim Nazi, Ph.D

    Andre Adams

    Andre Adams

    Eric McNutt, PMP, CGFM

    Eric McNutt, PMP, CGFM

    Torsten Timm, CGFM, PMP, CMC, CSSBB

    Torsten Timm, CGFM, PMP, CMC, CSSBB

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