Create and test ClaimsXten (CXT) scripts using medical claim systems such as Proclaim, Facets, PMHS, and PPN.
Partner with Quality Engineering (QE) teams to support testing, retesting, and issue resolution.
Document workflows, test results, and system changes clearly and accurately.
Work with business leaders and change teams to support readiness, training, and implementation.
Provide clear project updates, reporting, and post‑implementation monitoring.
Identify opportunities to automate processes, improve service quality, and reduce operating costs.
Support or lead small projects or components of larger initiatives.
Coordinate with business SMEs and IT partners to meet scope, cost, and timeline goals.
Ensure project plans are documented, approved, and executed as designed.

High School Diploma or GED required
3+ years of experience with one or more of the following medical claim systems (Proclaim, Facets, PMHS, or PPN) required
Experience creating or testing ClaimsXten (CXT) edits strongly preferred
Coding or system configuration experience preferred
Experience supporting project readiness activities such as training, procedures, and implementation
Ability to work independently in a fast‑changing environment
Strong skills in documenting business requirements and process changes
Ability to manage multiple priorities and meet deadlines
Strong problem‑solving, decision‑making, and communication skills
Proficient in Microsoft Office, SharePoint, and project tools; advanced Excel skills preferred.
Proven ability to work well with cross‑functional teams and stakeholders at all levels.

health-related benefits including medical, vision, dental, and well-being and behavioral health programs
401(k) plan
company paid life insurance
tuition reimbursement
minimum of 18 days of paid time off per year
paid holidays

Claims Systems Project Lead Analyst

Key skills