Senior Business Operations Analyst
BASF
ETLSQL
EDI File Analyst
Leading Edge Administrators
full-time
Posted on:
Origin: • 🇺🇸 United States • Arizona, Florida, Illinois, Kansas, Kentucky
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Project manage implementation of the various electronic enrollment options.
- Consult with client or their designated vendor during the implementation process to determine any special processing and system requirements to implement an automated enrollment process.
- Develop and conduct testing of file implementations; as the main point of contact, coordinate and communicate internally and externally until fully implemented with ongoing support for problem resolution.
- Prepare the electronic enrollment presentation materials including implementation schedules necessary for implementing a new electronic enrollment client or migrating a client to EDI file processing.
- Audit inbound and outbound files; reconcile errors and findings.
- Make decisions based on analysis for problem resolution, downstream impact mitigation and improved efficiency.
- Analyze impact of new benefits/products and other business needs on existing manual and automated processes and propose alternatives.
- Develop and design solutions to customer business problems and requirements.
- Quantify the cost and business benefits of the alternative solutions and make recommendations.
- Develop user requirements to propose the most feasible, cost-effective solution to address the request and promote continuous improvement.
- Recommend procedure and system changes to provide a more effective and efficient electronic enrollment process.
- Develop complete and accurate project documentation and implement training programs/materials to assist customers and stakeholders in adapting to system modifications.
- Guide and assist in the training of other team members to develop a thorough knowledge of the role including tasks and client requirements.
- Approve systems and procedure changes to increase automation or improve processing accuracy or timeliness.
- This can include system release testing, UAT testing, test case creation and the execution of the testing.
Requirements
- Bachelor’s degree in business administration, healthcare administration, information systems technologies, or computer science preferred
- 3+ years of experience in benefits eligibility, enrollment, or implementation role processing 834 and other files, preferably in a TPA
- In depth knowledge of the 834 file layout as well as other data exchange files, .XML, file segments and concepts; health insurance plans, employee benefits, and COBRA coverage
- Demonstrated history of creating process documentation and contributing to improvement in healthcare role(s)
- Experience with Notepad++ or similar platform preferred
- Solid working knowledge of standard computer applications including MS Word, Excel, Outlook, and PowerPoint
- Ability using a computer which includes expert keyboard and navigation skills and learning new programs
- Communicate clearly and professionally with internal and external customers
- Work effectively individually and as part of a team to achieve established outcomes
- Understand other’s roles and empower one another to take responsibility to be successful
- Demonstrate collaborative interactions with peers to reach a common goal as well as be a resource to team members and internal/external customers
- Pay close attention to detail in all aspects of the job
- Make decisions using available resources and sound judgment
- Maintain confidentiality and discretion
- Identify and resolve problems in a timely manner, gather and analyze information skillfully and proactively
- Share knowledge with associates by effectively communicating and providing follow-up
- Open to other’s ideas and exhibits a willingness to try new things
- Demonstrate accuracy and thoroughness; monitor work to ensure quality
- Prioritize and plan work activities to use time efficiently
- Adapt to changes in the work environment, manage competing demands and is able to deal with frequent changes, delays, or unexpected events
- Follows instructions, responds to direction, and solicits feedback to improve
- Act in such a way to instill trust from management, other associates, as well as customers
