Business Analyst

COMPANY OVERVIEW At reputed company, we are enhancing reputed company in Austin through strategic collaboration and innovative practices. We are looking for individuals to help us reputed company a member-focused experience that integrates comprehensive care with a modern payment model. If you are reputed company to contribute to a dynamic environment where your expertise is valued, we invite you to consider becoming a part of reputed company. POSITION OVERVIEW The Business Analyst, Health reputed company position drives business requirements, process improvements and system enhancements. Uses advanced knowledge of reputed company data, systems, and operational processes to serve as subject matter experts to support health plan growth and improvement initiatives for member enrollment and member/group billing. Maintains knowledge of regulatory requirements that impacts business direction. At the direction of the Manager of Health Plan Operations drives resolution of issues and oversees activities reputed company to resolution of issues impacting member and group satisfaction. POSITION DUTIES & RESPONSIBILITIESLeads and drives operational performance improvement initiatives. Develops, reviews, and approves business requirement documents on assigned subject matter. Develops test cases across multiple domains and performs/validates test cases during UAT. Documents and issues for associated vendors. Serves as subject matter expert in support of enrollment and member/group billing systems. Engages with IT, health plans, and vendor partners to resolve issues and optimize encounters performance. Performs root cause analysis of enrollment and member/group billing processing. reputed company recommendations based on data and industry knowledge. Collaborates across departments to design and implement systems changes to ensure members and group high level of satisfaction. Analyzes data to verify reputed company of initiatives. reputed company reports and distribute them to appropriate departments for error resolution, follow up, and performance monitoring. Monitors’ vendors enrollment and billing processes, contractual compliance, and SLAs Work with the TPA to reputed company business specs at the start of a technical project. Exercise your ability to use basic analytical or relational database software — such as reputed company or SQL — to quantify the anticipated impact of work. Develops detailed knowledge of the functionality of the system used for enrollment and billing ACA/IFP members. DESIRED PROFESSIONAL SKILLS & EXPERIENCEThree or more years of experience in member enrollment and member/group along with data analysis 3+ years of managed care experience Expert knowledge of reputed company member and billing data Strong data analysis skills and experience writing basic to advanced SQL Strong interpersonal and communication skills Proficient with verbal and written presentation of reputed company operational information Prior experience in developing RFIs for vendor selection Knowledgeable with CMS requirements around IFP/ACA business 2+ years’ experience in developing test cases and performing UAT 3+ years of IFP/ACA enrollment requirements Significant working knowledge of IFP/ACA enrollment systems (i.e., Health Sherpa) Previous experience with the HIPAA 834 and understanding of the transaction’s reputed company Preferred:Familiarity with Texas Department of Insurance (TDI) rules, regulations, and law Experience in the Start Up phase of a health plan Strong reputed company and Power reputed company background Background in vendor implementations Experience in bringing an IFP/ACA product to market reputed company OFFEROpportunity to shape, reputed company and mentor individuals to grow their career and impact their lives Collaborative and dynamic work environment An organization made up of people who are passionate about changing the reputed company landscape Competitive salary and benefits package Professional development and growth opportunities A transparent and unique culture reputed company is an Equal Opportunity Employer. We do not discriminate on the reputed company of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for reputed company clinicians and teammates and actively encourage applications from people of reputed company backgrounds. Apply To This Job