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Business Solutions Analyst
3 weeks ago
We are seeking a highly skilled Business Solutions Analyst to fulfill our business objectives. This individual will be responsible for analyzing business needs and developing technical solutions to meet those requirements.
Mandatory Skills:
- Business Analysis: Excellent analytical and problem-solving skills with the ability to communicate complex ideas in a clear and concise manner.
- US Healthcare: In-depth knowledge of the US healthcare system and experience working in the insurance domain is required.
- Payer Domain: At least 5 years of experience working on the payer side is mandatory.
- LOMA Certification: LOMA certification is a must-have for this role.
- Team Leadership: Proven experience as a team leader or project manager with a minimum of 4+ years of experience is required.
- Claim Adjudication, Enrollment, and Eligibility: Strong understanding of claim adjudication, new member portal, enrollment, and eligibility processes is essential.
Key Requirements:
- 8+ years of experience as a Business Solutions Analyst.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a team.
