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Healthcare Fraud Shield

Implementation Specialist

Healthcare Fraud Shield

. Plan and implement new client installations .

Posted 10/30/2026full-timeRemote • Missouri • United StatesJuniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in project management and client onboarding processes, with a strong focus on health insurance data analysis and compliance with privacy standards. Proficient in utilizing Microsoft Office Suite and web applications to manage project timelines and deliver high-quality customer service.

Highest-signal resume keywords
Project ManagementHealth Insurance Claim DataMicrosoft Office SuiteHealthcare ITCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Project ManagementData AnalysisData MappingData ManipulationHealthcare TerminologyCPT CodingICD-9 CodingICD-10 CodingHCPCS CodingRevenue Cycle Management
Soft Skills
Attention to DetailProblem SolvingOrganizational SkillsTeam CollaborationTime Management
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft ProjectMicrosoft OutlookWeb Applications
Industry Keywords
Health InsuranceHealthcare FraudWaste and AbuseClinical InformaticsPrivacy Standards

About the role

Key responsibilities & impact
  • Plan and implement new client installations
  • Manage project timelines, schedules, milestones, and deliverable deadlines
  • Manage assigned implementation tasks to the highest standards
  • Apply project management and organizational skills to implementation processes
  • Analyze client data files throughout the implementation process
  • Assist with documentation for client data feeds, including mapping and special data manipulation
  • Assist with testing for new client implementations
  • Identify obstacles and impediments in the client onboarding process
  • Collaborate with internal teams to identify resources for client data obstacles, implementation milestones, and special client needs
  • Communicate with clients about data needs and concerns, provide status updates, and guide the installation process
  • Provide regular status updates to internal staff and client resources
  • Manage schedules and timelines in project management software and company project templates
  • Deliver a high level of customer service
  • Comply with company Privacy and Security standards
  • Protect confidential health information as required by law
  • Perform other duties as needed, including data entry and research tasks

Requirements

What you’ll need
  • Bachelor’s degree required; focus Health Insurance or Administration preferred
  • 3+ years’ experience working with Health Insurance claim data or in a related industry preferred
  • 1-2 years project management or related experience, preferably supporting efforts to configure and customize a system or product
  • Advanced knowledge of Microsoft Office Suite, including Word, Excel, Project, and Outlook
  • Good working knowledge of web applications
  • Experience in healthcare IT, clinical informatics, or Healthcare Fraud, Waste and Abuse (FWA) strongly desired
  • Knowledge of health care, insurance, medical terminology, CPT, HCPCS, DRG, Revenue, ICD-9, and ICD-10 preferred
  • Proficient in the use of computers and computer applications
  • Ability to prioritize and organize large volumes of projects
  • Ability to solve problems and make decisions
  • Excellent verbal and written communication skills
  • Attention to detail
  • Ability to work in a team environment
  • Outstanding organizational and time management skills
  • Self-motivated
  • Must have high-speed Internet with minimum 25mbs download and 5mbs upload; satellite Internet is not allowed

Benefits

Comp & perks
  • Medical, Dental & Vision insurance
  • 401(k) retirement savings with employer match
  • Vacation and sick paid time off
  • 7 paid holidays & 2 floating holidays
  • Paid maternity/paternity leave
  • Disability & Life insurance
  • Flexible Spending Account (FSA)
  • Employee Assistance Program (EAP)
  • Professional and career development initiatives
  • Remote work eligible
  • High-speed Internet required (minimum 25mbs download and 5mbs upload; satellite is not allowed)