Job Category: CLAIMS
Job Type: Full Time
Job Location: Remote

As a Business Analyst – Managed Care / Claims, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. This BA position is to support the MS account in scoping and facilitating state requested changes to the Medicaid solution. The duties include identify and refining requirements, testing the changes, and conducting close down activities once the changes are in production. Here are the details on this position.

 

Your role in our mission

We empower you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.

  • Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations
  • Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models
  • Create, execute or analyze basic test scenarios to verify that client requirements are built into system design
  • Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections

What we’re looking for

  • Three or more years of experience Business Analyst or related experience in Member, Managed Care, Claims (Third Party Liability (TPL) and Financial preferred)
  • Knowledge of basic computer programming concepts such as configuration, development and batch processing
  • Advanced knowledge in Microsoft Excel and other software for conducting quantitative analysis
  • Strong analytical and business process re-engineering skills
  • Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel
  • An influencer and team player who that motivates others to action and communicates key technical ideas in a digestible way

What you should expect in this role

  • Fully remote options from most US locations and territories
  • Video cameras must be used during all interviews, as well as during the initial week of orientation

Apply for this position

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