Clinical Systems Analyst
Current•Supported Business Office / Managed Care teams in report building, file transfers, and task management using SQL queries to improve data accuracy and reporting processes.•Conducted dictionary maintenance, system enhancements, and problem analysis to resolve technical issues using SQL for data extraction and troubleshooting.•Managed the Plexis Claims Manager system and various Business Office / Managed Care applications, providing ongoing user support, training, and system maintenance.•Acted as a liaison between Business Office / Managed Care, IT departments, third-party vendors, and Health Plans, ensuring effective communication and coordination for smooth system operations.•Assisted in the development of customized reports and managed system enhancements to meet the evolving needs of the organization.•Used SQL to automate the generation of weekly and monthly reports, ensuring timely delivery of critical data to Managed Care and Claims teams.•Utilized Excel on a weekly and monthly basis to analyze provider production and capitation, calculating both the appropriate payment amounts owed to providers and their corresponding financial contributions.