Business Technical Analyst

Apex Systems; Northern (KY); Hybrid; USD 85,000 - 115,000; Full time

Benefits offered by this job

Medical insurance

401K with company match

HSA

EAP counseling

Job summary

Apex Systems is seeking a Business Technical Analyst to work remotely in the United States. The role emphasizes reporting, data analysis, and submitting claim records to ensure CMS compliance.

Responsibilities include risk adjustment submissions, ad-hoc analyses, and cross-team collaboration to maintain accuracy and timeliness across platforms. Strong experience with SAS/SQL and system design is required.

Qualifications

• Bachelor's degree required in a related field.
• 5+ years of experience with ad-hoc data requests.
• Experience in technical data analysis and system design documents.
• 4+ years in SAS, SQL, VB.NET, or Oracle development.
• 3+ years of business analysis experience.

Responsibilities

• Submit risk adjustment and claim records to CMS bi-weekly.
• Perform ad-hoc data analysis and reporting.
• Collaborate with compliance teams on regulatory submissions.
• Gather and validate data across multiple platforms.
• Coordinate with multi-company teams to submit data on schedule.
• Develop system design documents and project plans.

Skills

Analytical thinking

Reading data trends

Statistical reasoning

Communication

Education

Bachelor's Degree in related field

Tools

SAS

SQL

VB.NET

Oracle

Job description

Business Technical Analyst

Location: Fully remote anywhere in the US. *YOU MUST BE AUTHORIZED TO WORK IN THE UNITED STATES WITHOUT SPONSORSHIP*

Role OverviewWe are seeking a Business Technical Analyst. This role focuses on reporting, data analysis, and submitting claim records to ensure compliance. The position involves working with various teams to gather, ensure accuracy, and submit data across multiple platforms in a timely manner, with a strong emphasis on maintaining compliance standards when submitting information to CMS.

Key Responsibilities

• Submit risk adjustment and claim records to CMS on a bi-weekly basis.
• Conduct ad-hoc data analysis and reporting.
• Collaborate with compliance teams to ensure all data submissions meet regulatory standards.
• Gather and validate data for accuracy and completeness across multiple platforms.
• Work with employees from various companies to submit information compliantly and on schedule.
• Develop system design documents and project plans with achievable milestones.
• Mediate between different department demands to gain approval on system scope and design.

Required Qualifications

• Education: A Bachelor's Degree in a related field is required.
• Experience: 5+ years of experience in conducting ad-hoc requests.
• Work experience in technical data analysis, conducting system analysis meetings, and developing system design documents.
• 4+ years of experience in relevant programming, including SAS, SQL, VB.NET, or Oracle.
• 3+ years of experience in related business analysis.
• Technical Skills: 5+ years of experience with SAS and SQL, including reading and writing programs.
• Demonstrated analytical skillset.

Preferred Qualifications

• 1+ year of experience in the Healthcare industry.
• 1+ year of experience in ASP/ASP.NET.
• Experience with claims data or previous work within another healthcare company.

Benefits Overview

• medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection.
• ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure.
• HSA (Health Savings Account on the HDHP plan)
• SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions
• corporate discount savings program and other discounts.
• on-demand training program, certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure
• certification discounts and other perks to associations that include CompTIA and IIBA.

Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [e-mail] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.