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Business Analyst - Healthcare Claims - Remote

Posted 1 week ago
Data Analysis
Contract
Worldwide

Overview

This Business Analyst position is specifically focused on claims operations, including claims processing, benefit reviews, and system configuration. The role is responsible for gathering and documenting internal and client-facing workflows tied to claims administration and benefit delivery.

In Short

  • 100% Remote
  • Open to Direct Hire or Contract (1099)
  • Meet with clients to gather operational and functional requirements, document processes, dependencies, and decision points in real time.
  • Review system configuration to ensure they are meeting contract or program requirements.
  • Collaborate with proposal teams to develop storyboards and solution frameworks aligned to government RFPs.
  • Contribute to the development of SOPs and internal playbooks.
  • Serve as the central point of contact for assigned projects.
  • Support general administration and compliance oversight.
  • Previous healthcare experience preferred.
  • Strong time management and organizational skills.

Requirements

  • FACETS Experience preferred.
  • Previous experience in claims audit, processing, or system configurations.
  • Comfortable interacting with internal and external stakeholders.
  • Experience facilitating meetings and capturing follow-up tasks.
  • Strong time management, task tracking, and organizational skills.

Benefits

  • Diverse and inclusive workplace.
  • Equal Opportunity Employer.
  • Participation in the E-Verify program.
Government Market Strategies logo

Government Market Strategies

Government Market Strategies is a dedicated firm specializing in claims operations within the healthcare sector, particularly focusing on government healthcare programs. The company emphasizes the importance of accurate claims processing, benefit reviews, and system configuration to ensure compliance with contract and program requirements. With a commitment to fostering a diverse and inclusive workplace, Government Market Strategies values collaboration and effective communication among internal teams, clients, and vendors. The organization is fully remote and offers flexible employment options, including direct hire and contract positions, while actively participating in the E-Verify program to ensure work authorization compliance.

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