Functional Analyst I

Skill Mine; Owings Mills (MD); Remote; USD 70,000 - 85,000; Full time

Job summary

A leading company is seeking a Functional Analyst to provide operations support and improve systems via research and problem-solving in a fast-paced healthcare environment. Candidates should have 2-4 years of relevant experience in claims or EDI enrollments and a Bachelor's degree in Business Administration. This fully remote position offers the opportunity to contribute to essential operations while meeting organizational goals.

Qualifications

• 2 years experience in operational roles or additional 4 years in lieu of education.
• Experience working in claims, triage, or enrollment EDI required.

Responsibilities

• Research and improve operations by analyzing systems problems.
• Support customers by answering questions and providing training.
• Develop and document Standard Operating Procedures (SOP).

Skills

Problem Solving

Communication

Microsoft Office

Organization

Independence

Education

Bachelor's Degree in Business Administration

Job description

[OWINGS MILLS, MD, 21117] | 2023-10-09 12:03:01

Provides Operations Support by obtaining facts; analyzing enrollment related problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.

ESSENTIAL FUNCTIONS:

· 50% Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution.

· 20% Supports operations systems by providing operating EDI enrollment information to customers; answering questions; providing training.

· 20% Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation,

· 5% Verifies operations systems by developing testing methods, conducting, and documenting tests.

· 5% Improves operations analysis job knowledge by attending training sessions, reading technical publications.

QUALIFICATIONS:

· To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Experience working in claims, triage, or enrollment EDI

· Education Level: Bachelor's Degree

· Education Details: Business Administration

· Experience: 2 years’ experience in (level 2 or above) operational role.

· In Lieu of Education

· In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

PREFERRED QUALIFICATIONS:

· Knowledge, Skills, and Abilities (KSAs)

· Ability to recognize, analyze, and solve a variety of problems., Proficient

· Highly proficient in Microsoft Office and similar applications., Proficient

· Organized, detail-oriented while meeting strict deadlines. , Proficient

· Excellent communication skills both written and verbal., Proficient

· Demonstrate ability to work independently, Proficient

The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Job Description

PURPOSE:

Provides Operations Support by obtaining facts; analyzing enrollment related problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.

ESSENTIAL FUNCTIONS:

· 50% Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution.

· 20% Supports operations systems by providing operating EDI enrollment information to customers; answering questions; providing training.

· 20% Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation,

· 5% Verifies operations systems by developing testing methods, conducting, and documenting tests.

· 5% Improves operations analysis job knowledge by attending training sessions, reading technical publications.

QUALIFICATIONS:

· To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Experience working in claims, triage, or enrollment EDI

· Education Level: Bachelor's Degree

· Education Details: Business Administration

· Experience: 2 years’ experience in (level 2 or above) operational role.

· In Lieu of Education

· In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

PREFERRED QUALIFICATIONS:

· Knowledge, Skills, and Abilities (KSAs)

· Ability to recognize, analyze, and solve a variety of problems., Proficient

· Highly proficient in Microsoft Office and similar applications., Proficient

· Organized, detail-oriented while meeting strict deadlines. , Proficient

· Excellent communication skills both written and verbal., Proficient

· Demonstrate ability to work independently, Proficient

The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

***This role is 100% Remote to U.S. based candidates only***Please only send candidates over who have 2-4 years of experience working as a Functional Analyst in the healthcare industry and have experience working on claims, triage, or EDI enrollments
Background Check :Yes