Business Analyst - Remote
Daily Responsibilities:
- Support cross-functional work streams and teams to build and manage programs and projects that directly support HEDIS data quality improvement and reporting
- Conduct claims data and systems analysis and claims-related business analysis
- Ensure HEDIS data integrity and process optimization
- Partner with various lines of business, stakeholders and SMEs to determine impact and solutions
- Re-mediate gaps in existing production processes that can impact regulatory requirements
- Conduct research, complete data mining, and other necessary tasks to identify and validate business and HEDIS reporting requirements
- Perform testing and piloting of new HEDIS reporting processes, solutions and technology
- Perform root cause analysis of HEDIS data and provide recommendations and/or solutions
- Document and communicate detailed process documentation to describe processes & reason for changes (to include but not limited to: process mapping, P&Ps, SOPs, and BRDs).
- Utilize and analyze claims and investigate data to ensure HEDIS data and processes are appropriately followed, managed and reported
Hours:
- Monday-Friday daytime hours
Advantages of this Opportunity:
- Competitive salary, negotiable based on relevant experience
- Benefits offered, Medical, Dental, and Vision
- Fun and positive work environment
Requirements:
- BA/BS Degree
- 4+ years of health plan experience in claims, contracting, or reimbursement
- 2+ years of experience with coding and reimbursement methodologies and policies
- 1+ year or data analysis
Are you an experienced Business Analyst looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Amanda Hammer at 407-636-7030x201 or apply to obtain additional details.