Analyst

• Completes scheduled and urgent benefit additions, terminations, and changes timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damages.
• Acquires and maintains a basic level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to design both standard and custom configurations to meet client expectations.
• Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and Navitus internal business standards.
• Performs quality assurance peer reviews and uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues.
• Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests.
• Supports internal customers by participating in client meetings, audits and new program implementations with other areas of the company, answering benefit setup questions and providing guidance to other areas and roles on the benefit configuration process.
• Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems.
• Independently assesses business needs and participates in process improvement, cost reduction and automation efforts.
• Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies.
• Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations/standards.
• Contributes to training and maintains a mentoring relationship with new and existing benefit configuration team members.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.

Benefit Configuration Analyst

• Serve as the primary coverage advisor for complex personal lines matters
• Review, analyze, research, and assist in the resolution of litigated and non-litigated coverage and extra-contractual claim matters
• Evaluate policy language, claim facts, legal authorities, and applicable state laws to identify coverage issues
• Provide guidance and consultation to casualty and homeowner claims personnel regarding coverage questions
• Escalate highly complex, novel, or high-risk coverage issues to senior specialists and leadership as appropriate
• Monitor legal, regulatory, and case law developments and communicate relevant impacts to claims partners and leadership
• Support the development and delivery of coverage and product training materials for claims personnel and business partners

Complex Litigation Analyst

• Configure and customize financial systems such as ERP/General Ledger, Financial Reporting, Travel, and Reimbursement, to align with business and regulatory requirements, processes, and changes. Develop and maintain custom fields, forms, workflows, and records to enhance system functionality.
• Act as a subject matter expert to departments and leaders across ActBlue on the configuration, customization, data, and reporting functionality within our ERP system.
• Provide ERP support to users within the organization by troubleshooting issues, resolving problems, and offering guidance on system usage. Conduct training sessions for new and existing users to ensure optimal utilization of NetSuite features.
• Continually build out automation of manual processes, as well as NetSuite General Ledger and NetSuite Planning and Budgeting (NSPB) reporting.
• Support new integrations and system implementations related to ERP.
• Monitor interfaces with the payment processing (Stripe), travel platform (Navan), payroll system (Rippling), expense management (Expensify), corporate cards (American Express), corporate transportation (UBER/Lyft) and Amalgamated Bank. Ensure the integrity of interfaces and troubleshoot to resolve any issues.
• Ensure all updates and transitions to new releases are implemented without interruption to the production environment.
• Communicate effectively with internal and external stakeholders to provide updates, gather feedback, and address concerns.
• Support supplementary projects as assigned, ensuring timely and efficient completion in line with organizational objectives and standards.

Senior ERP Analyst, NetSuite

• Review, analyze, and test system-generated documents in both staging and production environments.
• Validate that documents fire correctly based on established business rules and event triggers.
• Ensure that all variables, data mappings, and conditional logic populate accurately within each document.
• Identify and troubleshoot functional and formatting issues, working closely with specialists to resolve them.
• Collaborate with IT/Systems, Business Analysts, Compliance/Regulatory Affairs, Underwriting, Customer Service, Accounting, and Claims teams.
• Participate in document change requests, testing, and release validation.
• Maintain detailed testing records, version histories, and issue logs.
• Support internal audits and quality reviews by providing documentation and test evidence.
• Recommend improvements to document processes, testing workflows, and functionality standards.
• Measure and report on project performance to identify areas for improvement.
• Understand insurance, policy activities, management processes, and billing as they relate to documents.
• Develop and maintain reporting for management and business partners.
• Keep management informed of progress, risks, and blockers.
• Forecast resource needs, prioritize work, and meet deadlines.
• Maintain prompt and regular attendance.
• Perform other duties as assigned.

Document Functionality Analyst I

• Completes scheduled and urgent benefit additions, terminations, and changes timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damages.
• Acquires and maintains a basic level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to design both standard and custom configurations to meet client expectations.
• Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and Navitus internal business standards.
• Performs quality assurance peer reviews and uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues.
• Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests.
• Supports internal customers by participating in client meetings, audits and new program implementations with other areas of the company, answering benefit setup questions and providing guidance to other areas and roles on the benefit configuration process.
• Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems.
• Independently assesses business needs and participates in process improvement, cost reduction and automation efforts.
• Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies.
• Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations/standards.
• Contributes to training and maintains a mentoring relationship with new and existing benefit configuration team members.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
• Other duties as assigned.

Analyst, Benefit Configuration

• Lead and support the Data and Analytics Support Desk function, providing both technical leadership and day-to-day guidance to analysts and team members
• Act as a player-coach, maintaining hands-on involvement in complex support cases while mentoring and developing the team
• Serve as a senior escalation point for advanced SQL, ETL/ELT, data warehouse, and BI-related issues
• Drive high-quality resolution of complex data platform issues, ensuring strong technical standards across all work
• Coach and mentor team members to deepen technical expertise, improve troubleshooting approaches, and grow professionally
• Own prioritization and triage of high-impact incidents, ensuring efficient routing and resolution
• Drive SLA adherence while maintaining a high bar for technical accuracy and quality
• Conduct root cause analysis (RCA) on recurring data defects and partner with Engineering and Product on structural improvements
• Ensure clear, proactive, and technically sound communication with clients throughout issue resolution
• Partner cross-functionally with Engineering, Product, and Customer Success to address systemic platform issues
• Identify trends, risks, and opportunities to improve platform performance, reliability, and scalability. Partner with the Head of Support Services to implement structural improvements and elevate service quality.
• Contribute to documentation, best practices, and knowledge sharing to reduce recurring issues
• Support operational tooling (PagerDuty, Jira, etc.) to ensure effective incident management and reporting
• Participate in hiring, onboarding, workforce planning, and performance management.
• Additional responsibilities as assigned.

Lead Analyst

• Advanced-level role responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance
• Analyze adherence to claims handling standards, regulatory requirements, SLAs, and KPIs
• Identify operational, compliance, and claim quality risks and provide recommendations for improvement
• Develop and enhance audit methodologies, scorecards, reporting tools, and operational dashboards

Commercial Claims Quality & Performance Analyst III

• Be a part of the team that is transforming the power industry of northern and eastern Maine
• The IT Analyst II is an intermediate technical position responsible for support, maintenance, design and development for assigned Versant Power Information Systems
• Supports the design, development and testing of new applications, application changes, and upgrades associated with the specified applications and related integration tools
• Provides technical support, maintenance, development, programming and troubleshooting for Customer Information System (CIS) and the integration with other systems
• Provides documentation/project tracking and management reporting to support the department's work plan
• Provides technical information for Disaster Recovery planning and participates in annual Technical Asset Review updates to help ensure asset life cycle management
• Actively participates in CIS Team meetings and contributes to the decision-making processes
• Participates in after-hours call out for application support
• Performs other related duties as assigned, including designated duties associated with System Restoration, (SEOP) System Emergency Operations Plan

IT Analyst II

• Design, build, and maintain dashboards and reports that support product insights, data quality, and financial performance.
• Query, clean, and analyze large datasets from veterinary practice management systems using SQL.
• Build and understand taxonomy development and consumption through various data pipelines.
• Perform data mapping using various product and patient demographic taxonomies.
• Partner with software engineers to translate clinical workflows into data requirements.
• Identify trends, anomalies, and opportunities in hospital performance data and communicate findings to both technical and non-technical audiences.
• Support data integrity initiatives, including data validation, reconciliation, and documentation of data pipelines.
• Develop a deep understanding of the veterinary business ecosystem, including how hospital data flows through scheduling, invoicing, medical records, and client communications.
• Collaborate cross-functionally on ad hoc analytical requests from operations, finance, product, and leadership teams.
• Advance AI tooling initiatives by providing QA for machine learning and normalization model outputs.
• Contribute to the development of KPIs, metrics frameworks, and data governance standards.

Analyst jobs in Maine

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