Associate Business Analyst

Responsibilities:

• Support short- and long-term operational/strategic business activities through analysis
• Design, recommend and implement business solutions through research and analysis of data and business processes
• Sound knowledge on developing process maps, BRDs and other documentation required such as prototype to build a solution
• Collaboration and engagements with the other support functions like Operational Excellence, RPA, OGA automation team, IT and other cross functional teams
• Perform analysis on defect trends to identify the root cause
• Dashboards - adapting and implementing new reporting standard such as Tableau, Power BI et., to provide automated real time reporting solutions
• Employee should have experience working with US leaders and understanding their asks in detail
• Audit paid claims data to identify overpayment particularly related to contracts and documentation requirements within medical records
• Investigate and identify the overpayments on all claim types to generate medical cost savings
• Identify potential overpayment identification concepts for prepay and post pay businesses across the payment integrity
• Create and maintain dashboards to accurately represent the state of Quality, Coaching, and Key Operational Performance metrics
• Ability to cater ADHOC reporting and analysis requests
• Ability to independently gather criteria for data analysis basis leadership requirements
• Examine, assess, and document business operations and procedures to ensure operational efficiency and excellence
• Employee should be innovative and have ability to solve business problems
• Use pertinent data and facts to ideate, identify and solve a range of problems within any area in Payment Integrity
• Ability to communicate the outcome of this research in a manner suitable for the intended audience
• Ability to work with less structured, more complex issues
• Team player with the ability to collaborate across diverse and matrixed teams

Required Qualifications:

• 3+ years of experience in problem solving through innovation & Ideation
• 2+ years as SME / Domain Expert / Quality Auditor / Training roles
• Experience of managing & implementing at least 2- 3 projects end to end in last 24 months

Preferred Qualifications:

• 2+ years of data visualization & analysis experience using one or more applications like PowerBI or Tableau
• MS Excel advanced knowledge

Work setup:

• Location: Quezon City or Makati or Taguig or Muntinlupa
• Work set-up: Hybrid
• Shift: Nightshift

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