Analyst

• Support critical clinical applications that directly improve patient care and nursing workflows across Banner Health's network.
• Work with systems including Cerner applications, Bridge Medical, and others.
• Collaborate with diverse teams to implement and optimize health information systems.
• Participate in on-call rotation and additional hours during implementations.
• Provide knowledge, guidance, and research to define and modify specifications and processes of complex information systems.
• Ensure timely updates and communication to the customer.
• Develop technical documents and testing scenarios, coordinate change management documentation.

IT Clinical Solution Analyst II

• Reviews Medicaid Drug Rebate payments from drug manufacturers to identify rebate disputes and resolve outstanding balances.
• Contact pharmacy and medical providers to verify claims data
• Contact drug manufacturers for information on disputed rebates
• Provide training for new hires and act as a subject matter expert to team
• Assist in required CMS reporting and invoicing as needed
• Act as backup for Drug Rebate Supervisor tasks as needed
• Assist the Supervisor in monitoring dispute workflow
• Lead efforts to focus efforts on the highest materiality disputes
• Assist with claim load file quality validation
• Research disputed pharmaceutical utilization to prepare dispute resolution proposals
• Negotiate with drug manufacturers to resolve disputes fairly and accurately
• Complete required productivity tracking reports
• Track and prioritize dispute resolution activities on an ongoing basis
• Review and resolve invoices in assigned workflow queues on a daily basis
• Follow up with drug manufacturers to secure payment for unpaid invoices
• Interact with internal and external customers to accomplish goals

Senior Drug Rebate Analyst

• Responsible for performing Epic application system analysis and design to include requirements, specifications, configuration, documentation, testing, and implementation of systems.
• Will also be involved in providing Epic application support, troubleshooting, training and reporting activities.
• May also be involved in providing non-Epic application support and troubleshooting for integrated third-party applications.
• Serves as a liaison between TSG groups, clients and vendors.
• Conducts advanced analysis of Epic application design including but not limited to planning implementations and maximizing application benefits.
• Mentors teammates in resolution of issues, tracking issues and providing updates to peers, leadership and clients.
• Manages assigned projects and meets deadlines.
• Conducts highly complex work unsupervised and with extensive latitude for independent judgement.
• Plans and conducts requirements gathering for Epic projects and requests.
• Coordinates, plans and conducts detailed design sessions through knowledge of client/business needs and application functionality.
• Develops reference materials (status reports, documentation, knowledge transfer, etc.) for supported applications (Epic and non-Epic) and related technologies.

Epic Application Analyst III – IP Orders Analyst

• Plans, organizes, directs and reports on all supplier quality-related activities such as raw materials, packaging materials, good manufacturing practices (GMP) service providers, as well as contract manufacturers, and/or contract manufacturing and laboratories to assure fulfillment of contract/purchase order requirements.
• Translates engineering, manufacturing, and quality requirements.
• Assures that customer quality-imposed technical requirements are adhered to by supplier and that a quality system is maintained.
• Conducts programs designed to improve supplier performance, productivity, and process validation.
• Prepares, maintains and reviews procurement quality assurance procedures to assure compliance with customer and/or government requirements.
• Reviews and analyzes corrective action reports and purchase orders in an effort to reduce and eliminate defects.
• Monitors quality control activities and systems at supplier and subcontractor facilities, and maintains feedback loops.
• May administer a certified supplier program or related programs in receiving inspection.
• May also audit third party manufacturers, due diligence and vendor selection process.
• May perform deviation investigations into quality issues.

Supplier Quality Analyst, Level 2

• 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

• Participate in global banking structure evaluations and implementations, supporting relationship management, fee benchmarking, and service reviews
• Assist with bank account rationalization, openings, closings, and signer maintenance
• Administer global online banking platforms, user entitlements, and periodic access reviews
• Maintain robust controls and documentation over banking permissions and approval workflows
• Monitor global daily cash positions and execute international funding transfers to meet operating needs
• Manage and monitor inter-company settlements and related reconciliations
• Partner with Accounting and FP&A on short- and long-term cash forecasts, including variance analysis, and identify opportunities to optimize working capital and shorten the cash conversion cycle
• Support debt reporting, repayments, covenant compliance, and forecasting of repayment schedules and interest costs
• Help identify and measure FX exposures across global entities. Support execution, settlement, and documentation of hedging activities
• Support corporate insurance renewals, manage claims and respond to insurance related inquiries
• Work with the accounting team to ensure the general ledger is updated timely with proper accounting for investments, derivatives, and foreign currency revaluation
• Assist in building and maintaining treasury dashboards and reporting packages for management
• Maintain treasury policies and SOX documentation; respond to internal/external audit requests and assist in SOX reviews
• Ensure compliance with internal controls, treasury policies, and regulatory requirements
• Identify and implement automation across reporting, reconciliation, and forecasting workflows
• Partner with IT and Treasury leadership on TMS implementation, treasury systems and banking platform enhancements
• Collaborate with internal stakeholders, including Accounting, Finance and Tax, to align Treasury activities with broader financial objectives

Senior Treasury 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

• Responsible for performing Epic application system analysis and design to include requirements, specifications, configuration, documentation, testing, and implementation of systems
• Will also be involved in providing Epic application support, troubleshooting, training and reporting activities
• May also be involved in providing non-Epic application support and troubleshooting for integrated third-party applications
• Serves as a liaison between TSG groups, clients and vendors
• Conducts advanced analysis of Epic application design including but not limited to planning implementations and maximizing application benefits
• Mentors teammates in resolution of issues, tracking issues and providing updates to peers, leadership and clients
• Manages assigned projects and meets deadlines
• Conducts highly complex work unsupervised and with extensive latitude for independent judgement
• Adheres to departmental policies and procedures
• Plans and conducts requirements gathering for Epic projects and requests
• Coordinates, plans and conducts detailed design sessions through knowledge of client/business needs and application functionality
• Coordinates, plans, and conducts analysis of client business needs
• Develops reference materials (status reports, documentation, knowledge transfer, etc.) for supported applications (Epic and non-Epic) and related technologies
• Serve as a liaison between Epic modules
• Serve as a professional and technical mentor to teammates
• Recognized as a subject matter expert and advanced individual contributor
• Serve as advocate for department initiatives and processes
• Facilitates a positive and collaborative work environment.
• Adheres to the application change management process to include timely reporting of all pertinent change information, effective discussion of the changes, internal and external communications, contingency planning, support of the change event and post-change reporting, as appropriate.

EPIC Application Analyst III – HomeHealth/Hospice

• Provide support to Revenue Cycle through the following:
• - Review coverage discovery for scheduled patient appointments to determine patient responsibility
• - Document coverage appropriately in Epic
• - Identify trends in coverage and point of service patient responsibility collections for each of the 88 clinic locations
• - Recommend process changes that would optimize collection of patient responsibility related revenue and third party payments
• - Communicate with clinical and operations leadership related to coverage discovery, patient responsibility, and revenue cycle related topics

Professional Billing and Revenue Cycle Analyst

• Implements a quality management strategy that meets internal and external expectations
• Works to achieve day-to-day objectives for the Health Care Quality Management function
• Condenses complex data into a clear picture
• Assists in the development and implementation of QM projects
• Documents QM activities to demonstrate compliance
• Makes outbound calls to assist members in obtaining services
• Performs quantitative and qualitative data analysis to achieve operational targets
• Reports business information and consults on solutions for emergent issues

Analyst, Health Care Quality Management

• 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

• Performs analytical tasks related to system enhancements and maintenance
• Serves as the liaison between the business unit and the programming/technical units
• Creates detailed project plans and tracking documents to track a project from start to finish
• Plays a key role in communicating issues related to projects/request to the business unit and programming/technical staff
• Writes detailed description of user needs, program functions, and steps required to develop or modify computer program
• Conducts studies pertaining to development of new information systems to meet current and projected needs

Business System Analyst 3 – Digital Systems

• Supports production, business, and other processes in a team-based manufacturing environment
• Performs activities in a variety of cross-functional areas including production planning and control, total quality management, systems, manufacturing, equipment and facilities engineering, material management, and process reengineering
• The incumbent may facilitate self-directed work teams, provide training in core skill areas to teams and peers, and interact with internal and external customers with respect to product planning, problem resolution, and process improvement
• Incumbents are generally experienced in one or more areas of manufacturing operations

Manufacturing Analyst – Level 2

• The Lead Application Analyst is responsible for providing leadership and direction with the design, testing and implementing of complex information systems and solutions
• The Lead Application Analyst possesses advanced knowledge and skills in assigned software applications and various system environments
• The Lead Application Analyst is responsible for developing and following project schedules, plans and timelines
• The Lead Application Analyst also develops, conducts and evaluates training sessions for staff, as required
• The Lead Application Analyst participates in team projects, assists with group direction and guidance, coordinates work assignments and problem resolution efforts
• The Lead Application Analyst performs planning, conducting and evaluating of training sessions for end-users and Information Systems staff

Lead Applications 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

• Analyze equipment utilization and rental activity to identify opportunities to reduce avoidable rentals.
• Provide recommendations and insights that drive operational change and measurable cost savings.
• Collaborate with Mobile Medical Equipment teams, Clinical Engineering teams, TRIMEDX Supply Chain, Finance, Accounts Payable, Accounts Receivable, CAM’s Strategic Advisors, and hospital customer administration and clinical staff.
• Support the strategic placement and ongoing management of rental equipment to meet clinical needs while optimizing spend.
• Develop and maintain strong customer partnerships using a consultative approach.
• Create and deliver clear, impactful presentations to communicate findings, recommendations, and process improvements.

Healthcare Analyst – Advisor

• Partners with assigned business segment to provide actionable, decision-relevant business insights based on customer trends, market trends, customer behavior, voice of the customer, competitive assessment, and industry trends.
• Provides analytical support and business level guidance in creation and distribution of enterprise business intelligence reporting.
• Provides expert knowledge of current Informational Delivery Platform tools, methods, and best practices.
• Recommends and implements process improvements.
• Supports detailed information analytics support for current and future information reporting needs.
• Actively participates and provides subject matter expertise in Informational Projects focusing on solving issues from the business point of view.
• Applies informational delivery strategy in the design of solutions that meet customer, operational, and reporting requirements.
• Consults regularly with line of business leadership to understand their strategic plan, goals, and business issues.
• Translates segment’s strategic plan, goals, and business issues into a strategic Informational Delivery direction.
• Works with various information sources to develop appropriate strategic recommendations to segment leadership.

Analyst jobs in Mississippi

See all jobs on JobTailor