This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Perform various analysis and interpretation to link business needs and objectives for assigned function.

• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Coordinate with various business units and departments in the development and delivery of training programs
• Develop, share, and incorporate organizational best practices into business applications
• Diagnose problems and identify opportunities for process redesign and improvement
• Formulate and update departmental policies and procedures
• Serve as the subject matter expert on the assigned function product to ensure operational performance
• Performs other duties as assigned
• Complies with all policies and standards

Qualifications

• Bachelor’s degree in related field or equivalent experience
• 4+ years of business process analysis experience in healthcare industry or 3+ years of managed care encounters experience
• Experience with encounters or claims business analysis experience in healthcare, preferably managed care or Medicaid
• Knowledge of Amisys or other claims system, HIPAA transactions (i.e. 837, 999, 824, 277) and SQL Scripting preferred
• Strong SQL background highly preferred

Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules