Perform various analysis and interpretation to link business needs and objectives for assigned function.
Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems.
Identify and analyze user requirements, procedures, and problems to improve existing processes.
Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation.
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience:
Bachelor’s degree in related field or equivalent experience. 0-2 years of business process analysis or data analysis experience. Project management experience preferred.
Benefits and Payment Configuration
Compliance Coding/Prepay Compliance (Payment Integrity)
Bachelor’s degree in related field or equivalent experience. 0-2 years of business process analysis (i.e. documenting business process, gathering requirements) or claims payment/analysis experience.
Provider Data
Bachelor’s degree in related field or equivalent experience. 0-2 years of business process analysis (documenting business process, gathering requirements) experience in healthcare industry and/or working in a data driven environment. Knowledge of data migration, software enhancement/planning, and Agile preferred.
Member & Provider Solutions
Bachelor’s degree in related field or equivalent experience. 0-2 years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Knowledge of data integration, software enhancements/planning and Agile preferred. Experience managing projects with a high reliance on technology preferred.