Business Analyst (Healthcare) - FULLY REMOTE

Apex Systems; Louisiana; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading IT services company is seeking a mid-level Business Analyst for a major Healthcare client. This fully remote role requires 4-6 years of business process or data analysis experience, ideally in Healthcare. Responsibilities include documenting requirements, supporting initiatives through data analysis, and coordinating training programs. Ideal candidates will have experience with HIPAA transactions and a strong attention to detail. Competitive pay between $40.00/hr and $45.00/hr is offered.

Benefits

Comprehensive benefits package including medical, dental, vision

401K with company match

Access to training and certification discounts

Qualifications

• Bachelor’s degree; 4-6 years of business process or data analysis experience, preferably in Healthcare.
• Experience with requirement documentation; health plan operations (claims, eligibility, encounters, call center); knowledge of Medicare/Medicaid.
• Detail oriented, with an ability to understand the more technical side of Operations.

Responsibilities

• Document Duals Operating Model Requirements and recommend potential business solutions.
• Support business initiatives through data analysis and user acceptance testing.
• Coordinate with various business units in the development and delivery of training programs.

Job description

Overview

Business Analyst (Healthcare) - FULLY REMOTE. This range is provided by Apex Systems. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$40.00/hr - $45.00/hr

Job#: 2089669

Job Description

Apex Systems is hiring for a mid-level Business Analyst for a major Healthcare company. 4 month contract with potential to extend. FULLY REMOTE anywhere in the United States, EST/CST is preferred. You must be authorized to work in the United States without sponsorship.

Responsibilities

• Role will be documenting Duals Operating Model Requirements – from an HP Ops standpoint, seeking changes in claims, encounters, eligibility, + reviewing for changes and necessary change requirements.
• This team works with other business teams – in pulling information across multiple documents; this will be a combination of independent and collaborative work.
• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems.
• Identify and analyze user requirements, procedures, and problems to improve existing processes.
• Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations.
• Identify ways to enhance performance management and operational reports related to new business implementation processes.
• Coordinate with various business units and departments in the development and delivery of training programs.
• Develop, share, and incorporate organizational best practices into business applications.
• Diagnose problems and identify opportunities for process redesign and improvement.
• Formulate and update departmental policies and procedures.
• Serve as the subject matter expert on the assigned function product to ensure operational performance.

Qualifications

Education/Experience: Bachelor’s degree; 4-6 years of business process or data analysis experience, preferably in Healthcare; Medicare, Medicaid or Duals experience.

• Technical Skills: Experience with requirement documentation; health plan operations (claims, eligibility, encounters, call center); knowledge of Medicare/Medicaid; Experience with encounters or claims business analysis; HIPAA transactions (e.g. 837, 999, 824, 277) and SQL scripting preferred.
• Soft Skills: Detail oriented, with an ability to understand the more technical side of Operations.

Day to Day

• Claims are generally complex and require days for completion – there is no minimum per day requirements.
• Participating in meetings to ensure correct documents are noted.
• Performance will be measured on completion, accuracy, and comprehensiveness.

Benefits and Compliance

Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience preferred. Compliance coding/prepay compliance (Payment Integrity) experience in claims coding analysis or medical claim review/research preferred. Knowledge of Amisys claims payment system and Business Objects preferred. Encounters experience with claims business analysis in healthcare, HIPAA transactions and SQL scripting preferred. Medicare experience in managed health care, with project management experience preferred. Provider Data and Member & Provider Solutions experience, including data migration, Agile and technology-driven project management preferred.

EEO

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex, age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, marital status, disability, protected veteran status, or any other characteristic protected by law. If you require an accommodation in using our website, contact Employee Services.

About Apex

Apex Systems is a world-class IT services company that serves thousands of clients globally. We offer career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our benefits overview includes medical, dental, vision, life, disability, ESPP, 401K with company match after 12 months, HSA, EAP, discounts, and access to training and certification discounts.