Business Analyst – Encounters
Sentara Health
full-time
Posted on:
Location Type: Remote
Location: Virginia • United States
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About the role
- Coordinate with other Encounters Department team members in the preparation, validation, and submission of adjudicated claims data (“Encounters”), to both state and federal agencies.
- Under general supervision, train and develop proficiencies in data analysis techniques relating to Encounters submission data received by the Health Plan from state and federal agencies.
- Work with Sr. Business Analysts to coordinate efforts to identify, analysis, and remediate identified errors via reprocessing.
- Over time, develop sufficient operational expertise (systems and tools, methodologies, contractual / technical requirements) to support the Encounters workstream actively and competently in all major operational areas (data requirements, data structure, submissions, and remediation).
- Establish and maintain working relationships with peers, key departmental stakeholders, and external servicing vendors relating to assigned Market(s) / Lines of Business (LOBs).
- Partner with Sr. Business Analysts and the Encounters Leadership Team in ongoing efforts to establish, maintain, and incorporate improvements to departmental documentation needs (task schedules, submissions tracking, Standard Operation Procedures (SOPs)).
- Assist Sr. Business Analysts and the Encounters Leadership Team in ongoing User Acceptance Testing (UAT) needs relating to internal systems upgrades, configuration changes, and new vendor / LOB implementations.
Requirements
- Bachelor's Degree preferred
- Three years' of related experience is required in one of the following areas: Operations, IT or Reporting.
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisdata validationdata remediationdata structuresubmissionsUser Acceptance Testing (UAT)operational expertisecontractual requirementstechnical requirements
Soft skills
coordinationtrainingrelationship buildingcommunicationcollaboration
Certifications
Bachelor's Degree