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
Ability to travel
Performs other duties as assigned
Complies with all policies and standards

Requirements

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
Knowledge of HIPAA transactions (i.e. 837, 999, 824, 277)
SQL Scripting preferred.

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

Applicant Tracking System Keywords

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

Hard Skills & Tools

business process analysisdata analysisuser acceptance testingprocess redesignSQL scriptingclaims business analysisoperational reportspolicy formulationtraining program developmentperformance management

Soft Skills

problem-solvingcommunicationcollaborationorganizational skillsanalytical thinkingadaptabilityattention to detailsubject matter expertiseproject managementinterpersonal skills

Certifications

Bachelor’s degree