Senior Business Analyst, Government Programs Operations - Remote

Overview

The Senior Business Analyst, Government Programs Operations provides support gathering and documenting business and reporting requirements that align with state and federal guidelines. This individual will analyze complex problems and issues using available information from both internal and external sources. Other responsibilities will include creating specifications documents for business processes, reports, data extracts, and analyses based on business needs. Identify and interpret trends in datasets to find possible outliers or patterns that can be used to drive process improvements. Collaborates with internal and external cross-functional teams (compliance, product, sales, marketing, underwriting, implementation, client services, clinical operations) to design, refine, automate, and maintain operational capabilities.

In Short

• Monitors for changes in existing business processes and updates documentation accordingly.
• Intake, analyze and manage requests from stakeholders.
• Proactively reviews business processes and data to develop subject matter expertise.
• Drives root-cause-analysis and resolution of data and processes issues/errors.
• Supports analytical, problem-solving functions by defining and documenting specifications.
• Analyzes business workflow and system needs for conversions and migrations.
• Prepares end user documentation and training materials as needed.
• Supports encounter and PDE submission process by analyzing complex data issues.
• Develops and sets up performance metrics for stakeholder distribution.
• Performs root cause analysis of claims/encounters processing and submission issues.

Requirements

• 3+ years of healthcare experience.
• 3+ years of business process analysis, preferably in healthcare.
• Demonstratable knowledge of SQL, Excel, and other data visualization tools.
• Experience with implementation/project management.
• Experience working with cross-functional teams.
• Extremely flexible, highly organized, excellent communication skills.
• Attention to detail & commitment to delivering high-quality work product.
• Comfort or experience in a fast-paced, growing environment.
• Intellectual and professional curiosity.
• Familiarity with the agile framework/Certified Scrum Product Owner preferred.
• Demonstratable knowledge of the Python programming language preferred.
• Experience with Medicare, Medicaid, and Government Exchange programs preferred.

Benefits

• Competitive salary range.
• Opportunity to work in a diverse and inclusive environment.
• Remote work options available.
• Comprehensive health benefits.
• Professional development opportunities.
• Flexible working hours.
• Collaborative team culture.
• Impactful work in the healthcare sector.
• Access to cutting-edge technology.
• Supportive management.