Job Details

Job Summary

Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused.

KNOWLEDGE/SKILLS/ABILITIES

• Provides analytical, problem-solving foundation including definition and documentation, specifications.
• Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements.
• Reviews, researches, analyzes and evaluates all data relating to specific area of expertise. Begins process of becoming subject matter expert.
• Conducts analysis and uses analytical skills to identify root cause and assist with problem management as it relates to state requirements.
• Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery and cost savings regulations are met.
• Prepares high level user documentation and training materials as needed.
• Familiar with 834, Medicare eligibility data and perform UAT (user acceptance testing).
• Clearly define problem statements, root causes, and recommended solutions, as well as next steps for implementation, tailored to various audiences, including executive leadership.

JOB QUALIFICATIONS

Required Education

Associate's degree or equivalent combination of education and experience.

Required Experience

• 3-5 Years of business analysis.
• Minimum of 3 years of experience as a Business Analyst or Healthcare Eligibility Role, with a proven track record of successfully analyzing business processes and driving improvements.
• 2+ years managed care experience.
• Proficient in advanced Excel functions, including VLOOKUP, and intermediate-level formulas to analyze and manage data effectively.
• Intermediate SQL knowledge to run queries for analysis, UAT validation and report generation.
• Ability to prioritize and manage multiple tasks in a fast-paced environment.
• Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas.

Preferred Education

Bachelor's Degree or equivalent combination of education and experience.

Preferred Experience

• 1-3 years formal training in Business Analysis and/or Systems Analysis.

Work Hours:

• Flexibility in work hours, with core business hours from 8:00 AM to 5:00 PM PST.
• Depending on business needs, weekend work may be required occasionally.

If you are a self-starter with a passion for process improvement and problem-solving, and you thrive in a collaborative and innovative environment, please consider applying.