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Role Description

Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.

• Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
• Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes
• Resolve issues and identify opportunities for process redesign and improvement
• Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements
• Evaluate risks and concerns and communicate to management
• 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
• Oversee all changes to departmental policies and procedures, including communicating and implementing the changes
• Serve as the subject matter expert on the assigned function product to ensure operational performance
• Ability to travel

Qualifications

• Bachelor’s degree in related field or equivalent experience
• 6+ years of business process analysis experience in healthcare industry or 5+ years of managed care encounters experience
• Advanced knowledge of Microsoft Applications, including Excel and Access preferred
• 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

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