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.
• Perform other duties as assigned.
• Comply 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.
• Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

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.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.