Capital Rx

Senior Business Analyst, Government Programs Operations, Claims & Encounters

Capital Rx

full-time

Posted on:

Location Type: Hybrid

Location: United States

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Salary

💰 $90,000 - $105,000 per year

Job Level

Tech Stack

About the role

  • Monitors for changes in existing business processes and updates documentation accordingly - Finds new opportunities for process developments and improvements
  • Intake, analyze and manage requests from stakeholders
  • Proactively reviews business processes and data to develop subject matter expertise of processes supported by our team
  • Drives root-cause-analysis and resolution of data and processes issues/errors by partnering with key stakeholders
  • Supports analytical, problem-solving functions by defining and documenting specifications pertinent to all departmental processes
  • Analyzes business workflow and system needs for conversions and migrations to ensure that government submissions, recovery, and cost savings regulations are met
  • Prepares end user documentation and training materials as needed
  • Support government data submission processes by analyzing complex data issues using data from internal and external sources
  • Improve government data submission processes by reviewing and synthesizing state and federal recourses, consolidating into comprehensive business requirements documents
  • Support creation of intake request to enhance existing processes by gathering requirements and level setting with stakeholders on required processes
  • Develop and set up performance metrics for stakeholder distribution
  • Performs root cause analysis of government data processing and submission issues; develops recommendations based on data and industry knowledge

Requirements

  • 3+ years of healthcare experience
  • 3+ years of business process analysis, preferably in healthcare
  • 3+ years of experience with Government Exchange programs
  • Demonstratable knowledge of SQL, Excel, and flow-charting tools
  • Experience with implementation/project management
  • Experience working with cross-functional teams
  • Extremely flexible, highly organized, excellent communication and able to shift priorities easily
  • Attention to detail & commitment to delivering high-quality work product
  • Comfort or experience in a fast-paced, growing environment
  • Intellectual and professional curiosity
  • Familiarity with the agile framework/Certified Scrum Product Owner preferred
  • Bachelor’s degree in Business Administration, Data Analytics, Computer Science or 3+ years of relevant experience.
Benefits
  • Flexible work arrangements
  • Professional development
Applicant Tracking System Keywords

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

Hard Skills & Tools
SQLExcelflow-charting toolsbusiness process analysisdata analysisroot cause analysisperformance metricsgovernment data submissionproject managementrequirements gathering
Soft Skills
communicationorganizational skillsflexibilityattention to detailproblem-solvingintellectual curiosityprofessional curiosityability to shift prioritiescollaborationstakeholder management
Certifications
Certified Scrum Product Owner