Senior Rules Architect
Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025
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Job Description:
A company is looking for a Senior Rules Architect, Denials.
Key Responsibilities:
Collaborate with service lines and business leaders to enhance the
impact of Denials Rules and drive process improvements
Monitor and analyze rule performance, providing actionable insights
for optimization
Manage multiple projects across various types, ensuring effective
tracking and implementation
Required Qualifications:
Intermediate+ level experience with SQL programming
Experience with ETL processes in a SQL environment
Understanding of ICD-10, HCPCS/CPT coding, and medical
terminology
Proficient in Microsoft Excel; experience with Microsoft Access is
a plus
Strong analytical skills with the ability to conduct macro and
micro-level data analysis
Keywords: VirtualVocations, Glendora , Senior Rules Architect, Professions , Vista, California
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