DST Systems Jobshttp://jobs.dstsystems.com2012-05-22 13:18:31.797448USAHarrisburgJob Title Claims Manager - Medicare Auto req ID 12247BR Company (Must match Job Code & Dept first 3 digit#) 332-DST Health Solutions, LLC Site Location Harrisburg, Pennsylvania Job Description BPO Group Managers manage multiple operational departments comprised of one or more client relationships within the organization. Generally, BPO Group Managers will have other managers as their direct reports. BPO Group Managers are expected to have a very thorough understanding of healthcare operations and the organization's products and services. They participate in developing and implementing the group's strategic plan, policies, and procedures. They anticipate and provide solutions to complex business and operational problems. BPO Group Managers participate in the budgeting process, manage annual department budgets, and have fiscal accountability for profitability. Required Skills High school diploma or equivalent; 5 years in a management/leadership role in the healthcare claims services industry. Must have experience in Medicare claims. Familiarity with CMS regulations, HIPAA knowledge, and experience managing production/quality. Desired Skills Post-secondary education; 7+ years management/leadership experience in healthcare claims services industry. Experience with capacity modeling, budgeting and performance management. Full or Part Time Full-Time Travel Requirements Minimal Working Hours or Shift 1st Shift (Days, M-F, 7am-4pm or 8am-5pm)2012-04-30 19:24:37United StatesDST SystemsPennsylvania12247BRPAHarrisburg, PA28274973http://jobs.dstsystems.com/xml/28274973/jobUSAHarrisburgJob Title Health Care Claims Specialist Auto req ID 12199BR Company (Must match Job Code & Dept first 3 digit#) 332-DST Health Solutions, LLC Site Location Harrisburg, Pennsylvania Job Description Health Care Claims Specialists process hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of claims in moderate complexity categories, including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgical procedures, dual entitled members, adjustments, worker's compensation, or motor vehicle accidents. Associates must meet or exceed production and quality standards for processing and follow documented policies and procedures. Health Care Claims Specialists may research, resolve, and respond to inquiries and problems of a moderately complex nature. They may be responsible for mentoring newer associates. They route claims that cannot be finalized. Required Skills claims processing experience Full or Part Time Full-Time Travel Requirements None Working Hours or Shift 1st Shift (Days, M-F, 7am-4pm or 8am-5pm)2012-04-30 19:24:15United StatesDST SystemsPennsylvania12199BRPAHarrisburg, PA28274969http://jobs.dstsystems.com/xml/28274969/jobUSAHarrisburgJob Title Sr. UNIX Systems Administrator Auto req ID 11952BR Company (Must match Job Code & Dept first 3 digit#) 100-DST Systems, Inc. Site Location Harrisburg, Pennsylvania Job Description DST Systems is currently hiring a Sr UNIX Systems Administrator. This position is available in Harrisburg, PA. Sr. Systems Administrators install, configure, and maintain operating systems and servers in support of business processing requirements. They lead medium-sized projects from a technical aspect. They perform software installations and upgrades to operating systems and software packages. They ensure data/media recoverability by ensuring all required servers are backed up. They administer and maintain security of operating systems. Sr. Systems Administrators troubleshoot, analyze, and resolve moderately complex issues. They interface with vendor support teams and peripheral in-house support teams (e.g., Network, Database Services, Open Systems, Performance) as necessary. They evaluate and study vendor products to make recommendations on which best meet company and/or client needs. They assist in the development of technical standards and policies. Sr. Systems Administrators possess knowledge and experience in systems administration activities and demonstrate moderate skills with high level of proficiency. They perform work that is varied and moderately complex. They work on issues of moderate scope where analysis of situations or data requires a review of a variety of factors. They receive a moderate level of guidance and direction and may consult with senior peers on general projects.<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /> REQUIRED: ·5+ years experience working as a Unix Administrator. ·Qualified candidates will have experience in HPUX, AIX, and Redhat Linux operating systems AND have exposure to virtualization across these platforms. DESIRED: ·Experience with browser based applications and products such as Apache, JBOSS, and Weblogic preferred. Required Skills Unix administration Full or Part Time Full-Time Travel Requirements Minimal Working Hours or Shift 1st Shift (Days, M-F, 7am-4pm or 8am-5pm)2012-04-25 18:24:43United StatesDST SystemsPennsylvania11952BRPAHarrisburg, PA28171185http://jobs.dstsystems.com/xml/28171185/jobUSAHarrisburgJob Title Manager, Government Programs Auto req ID 12151BR Company (Must match Job Code & Dept first 3 digit#) 332-DST Health Solutions, LLC Site Location Harrisburg, Pennsylvania Job Description BPO Group Managers manage multiple operational departments comprised of one or more client relationships within the organization. Generally, BPO Group Managers will have other managers as their direct reports. BPO Group Managers are expected to have a very thorough understanding of healthcare operations and the organization’s products and services. They participate in developing and implementing the group’s strategic plan, policies, and procedures. They anticipate and provide solutions to complex business and operational problems. BPO Group Managers participate in the budgeting process, manage annual department budgets, and have fiscal accountability for profitability. Required Skills High school diploma or equivalent; 3 years in a management/leadership role in the healthcare claims services industry. Desired Skills Post-secondary education in a related field such as Business Management, Business Administration, or Finance; 5+ years management/leadership experience in the healthcare claims services industry. Full or Part Time Full-Time Travel Requirements None Working Hours or Shift 1st Shift (Days, M-F, 7am-4pm or 8am-5pm)2012-04-25 18:24:35United StatesDST SystemsPennsylvania12151BRPAHarrisburg, PA28171174http://jobs.dstsystems.com/xml/28171174/jobUSAHarrisburgJob Title Health Care Claims Specialist Auto req ID 12157BR Company (Must match Job Code & Dept first 3 digit#) 332-DST Health Solutions, LLC Site Location Harrisburg, Pennsylvania Job Description Health Care Claims Specialists process hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of claims in moderate complexity categories, including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgical procedures, dual entitled members, adjustments, worker's compensation, or motor vehicle accidents. Associates must meet or exceed production and quality standards for processing and follow documented policies and procedures. Health Care Claims Specialists may research, resolve, and respond to inquiries and problems of a moderately complex nature. They may be responsible for mentoring newer associates. They route claims that cannot be finalized. Required Skills High school diploma or equivalent; 1-3 years experience processing medical claims; must have mastered proficiencies of Claims Examiner position; knowledge of CPT, ICD-9, and HCPCS codes. Desired Skills Post-secondary education; 1-3 years experience processing medical and facility claims; must have mastered proficiencies of Claims Examiner position; knowledge of CPT, ICD-9, and HCPCS codes. Full or Part Time Full-Time Travel Requirements Not Applicable Working Hours or Shift 1st Shift (Days, M-F, 7am-4pm or 8am-5pm)2012-04-24 20:16:33United StatesDST SystemsPennsylvania12157BRPAHarrisburg, PA28151050http://jobs.dstsystems.com/xml/28151050/jobUSAHarrisburgJob Title Business Specialist - Healthcare Informatics Auto req ID 10479BR Company (Must match Job Code & Dept first 3 digit#) 332-DST Health Solutions, LLC Site Location Harrisburg, Pennsylvania Job Description NOTE: This position can be based in Birmingham, AL; Harrisburg, PA; or Southfield, MI. Client Relations Consultants are responsible for strategic client relationship management, managing client expectations, and developing client solutions. This person will interact with a single product group to deploy product and coordinate projects on behalf of their clients, ensuring that product deliverables are met. With general industry, product and best business practices knowledge, they demonstrate an ability to analyze, articulate and propose solutions both to clients as well as the product team.They perform detailed project analysis in relation to business processes, product utilization, industry practices, etc., and assist with architecting strategic solutions for clients business problems or deficiencies.They work closely with the product team to identify potential product enhancements and are responsible for writing business requirements and participating in the testing of these requirements to ensure intent has been met. They mentor and are sought out by less experienced associates within their group and across functional areas for their product and client knowledge. Required Skills 5 years of implementation, account management and healthcare analytics (quality evaluation and risk adjustment). Business requirement business requirement documentation. Project management exp and HEDIS/Predcitive Modeling Desired Skills 6+ years of implementation, account management and healthcare analytics (quality evaluation and risk adjustment). Full or Part Time Full-Time Travel Requirements 25% Working Hours or Shift Not Applicable2011-07-27 18:59:39United StatesDST SystemsPennsylvania10479BRPAHarrisburg, PA22661097http://jobs.dstsystems.com/xml/22661097/job