Business Analyst

Innova Solutions Inc; Philadelphia (Philadelphia County); On-site; USD 62,000 - 66,000; Full time

Benefits offered by this job

Medical & pharmacy coverage

Dental/vision insurance

401(k)

HSA and FSA

Life Insurance

Pet Insurance

Short term and Long term Disability

Accident & Critical illness coverage

Pre-paid legal & ID theft protection

Sick time

Other types of paid leaves

Employee Assistance Program (EAP)

Job summary

Innova Solutions Inc. is seeking a Business Analyst to join onsite in Philadelphia, PA. The role is a full-time contract-to-hire position with a 4-month engagement and offers multiple client locations including Philadelphia.

You will analyze medical claims, perform root cause analysis, and collaborate across teams to resolve issues while applying data and automation to improve processing. Strong knowledge of ICD-10/CPT/HCPCS and the Blue Squared system is required.

Qualifications

• 3+ years in medical claims processing or healthcare administration.
• Expertise in the Blue Squared application.
• Knowledge of ICD-10, CPT, HCPCS codes and claims processing software.

Responsibilities

• Analyze claim issues and perform root cause analysis.
• Collaborate with teams to resolve member claims.
• Use data, bots and tools to improve processing efficiency.
• Document processes and act as SME in meetings and projects.
• Schedule recurring meetings to maintain momentum.
• Evaluate business processes and implement tech improvements.
• Assist with data extraction and process documentation.

Skills

Medical claims processing

Healthcare administration

ICD-10/CPT/HCPCS codes

Blue Squared application

Data analysis

Communication skills

Tools

Blue Squared

Job description

Business Analyst

A client of Innova Solutions is immediately hiring for a Business Analyst position. Position type: Full time - Contract to hire. Duration: 4-month contract.

Location: Philadelphia, PA 19103 (Onsite); Bloomington, MN; Tampa, FL; Salt Lake City, UT; Houston, TX; Columbus, OH.

Responsibilities

• Support the processing team with analysis of claim issues and inquiries.
• Perform root cause analysis and course correct identified issues for full resolution.
• Work with other plans to resolve issues for members.
• Research root cause of incorrectly processed claims, failed DF and RFs.
• Provide solutions and coordinate with appropriate team members to repair the claim and provide re-education to the processor or submit ticket for system enhancement.
• Focus on applying technologies to continuously increase claims process improvements with the use of data, Bots and applications/tools.
• Share this knowledge and skill with other team members to instill across the team the opportunities that they can leverage to process improve.
• Schedule reoccurring meetings to keep momentum.
• Responsible for evaluating current business processes and developing, implementing, testing and maintaining technology for more cost effective or quality improvement processing.
• Assist with pulling the data needed and assist with the documentation of processes and work procedures.
• Represent Department as SME in meetings, projects and company initiatives.

Ideal Candidate

• 3 years or more of experience in medical claims processing and adjusting or healthcare administration.
• Expertise in the Blue Squared application.
• Knowledge of medical billing codes (ICD-10, CPT, HCPCS), claims processing software, and a strong understanding of the BlueCard product.
• Ability to summarize large amounts of data and pivot data in multiple ways.
• Ability to assess claim data in detail and identify errors or inefficiencies.
• Possess excellent mathematical skills and have the ability to work independently and within tight timeframes.
• Strong written and verbal communication skills for interacting with various stakeholders and resolving issues quickly.
• High level of accuracy and thoroughness in reviewing claims for clients.

Pay Range and Benefits

Pay Range*: $45 - $48 per hour

*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits (based on eligibility) that include the following:

• Medical & pharmacy coverage
• Dental/vision insurance
• 401(k)
• Health saving account (HSA) and Flexible spending account (FSA)
• Life Insurance
• Pet Insurance
• Short term and Long term Disability
• Accident & Critical illness coverage
• Pre-paid legal & ID theft protection
• Sick time
• Other types of paid leaves (as required by law)
• Employee Assistance Program (EAP)

About Innova Solutions

Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions

• Named One of America's Best Employers for New Grads by Forbes (2024)
• Named One of the Best Companies to Work for by U.S. News & World Report (Private Companies List, 2024-2025)
• One of the Largest IT Staffing Firms in the US - Ranked #3 by Staffing Industry Analysts (SIA, 2024)
• One of the Largest Staffing Firms in the US - Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
• Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
• One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
• AWS Advanced Tier Services Partner with 100+ certifications

Website

Website: https://www.innovasolutions.com/

Equal Opportunity

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates.

If you are an individual with a disability and need a reasonable accommodation to assist you with your job search or application for employment, please contact us at [emailprotected] or [phone]. Please indicate the specifics of the assistance needed.

Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities.

Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. 1324b. The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinaries, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

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