Senior Business Operations Analyst - Healthcare Eligibility Solutions - Remote

Overview

The Senior Business Operations Analyst will leverage expertise in healthcare claims and data analysis to support business decision-making and improve operational processes within healthcare payment integrity.

In Short

• Analyze claims data to identify trends and improve processes.
• Support new client implementations and existing programs.
• Conduct detailed data analysis for insights.
• Create complex queries for reporting needs.
• Perform QA and UAT as needed.
• Collaborate with technical and business leaders.
• Ensure compliance with HIPAA and regulations.
• Utilize advanced Excel and SQL skills.
• Communicate effectively with stakeholders.
• Identify opportunities for process improvements.

Requirements

• Bachelor’s degree or equivalent experience.
• 7+ years of experience with healthcare claims data.
• Knowledge of COB/TPL/MSP.
• Experience with data modeling and analysis.
• Proficiency in SQL and data analysis applications.
• Strong problem-solving and communication skills.
• Ability to work independently and meet deadlines.
• Experience in a fast-paced environment.
• Ability to develop and communicate business rules.
• Initiative and diligence in operations tasks.

Benefits

• Medical, dental, and vision coverage.
• Disability and life insurance options.
• 401(k) savings plans.
• Paid family/parental leave.
• 11 paid holidays and vacation time off.
• Support for a healthy work/life balance.