
Senior Business Analyst with Expertise in Healthcare
23 hours ago
Key Responsibilities:
- Gather and Analyze Business Requirements
You will be responsible for gathering, analyzing, and documenting business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.
Ensure Compliance and Regulatory AlignmentTo ensure system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines, you will need to collaborate closely with compliance and legal teams during audits or regulatory updates.
Benefit Codes and Plan ConfigurationAnother critical aspect of this role is analyzing and configuring benefit codes for medical, dental, pharmacy, and specialty products, as well as supporting plan design, benefit mapping, and validation in healthcare systems.
Collateral and Member MaterialsYou will also be responsible for coordinating development and validation of member-facing collateral such as Explanation of Benefits (EOBs), Summary of Benefits and Coverage (SBCs), provider directories, and plan brochures.
Requirements, Skills, and Qualifications:- Strong Knowledge of Healthcare Regulations
You must have a deep understanding of healthcare regulations, including HIPAA, CMS, NCQA, and state-specific regulations.
Excellent Communication and Collaboration SkillsA successful candidate will possess excellent communication and collaboration skills, enabling them to effectively interact with cross-functional teams, stakeholders, and external partners.
Proficiency in Data Analysis and InterpretationThis role requires strong data analysis and interpretation skills, allowing you to gather insights from data and make informed decisions.
What We Offer:We offer a dynamic and supportive work environment that fosters growth, innovation, and teamwork. As a valued member of our team, you can expect:
- Ongoing Training and Development Opportunities
We invest heavily in our employees' professional growth and development, providing regular training, workshops, and mentorship programs to help you reach your full potential.
Competitive Compensation and Benefits PackageWe offer a comprehensive compensation package that includes competitive salary, bonuses, and benefits to ensure your financial security and well-being.
Flexible Work ArrangementsWe recognize the importance of work-life balance and offer flexible work arrangements, including remote work options, to support your personal and professional goals.
How to Apply:If you are a motivated and experienced Healthcare Business Analyst looking for a new challenge, please submit your application, including your resume and cover letter, to our online portal.
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