Healthcare Claims & Care Management Analyst I

CERIS

Oregon

Hybrid

USD 61,000 - 91,000

Full time

10 days ago

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Benefits offered by this job

Medical plan

Dental

Vision

401K

Paid time off

Job summary

CorVel is seeking a Business Analyst to leverage expertise in care management or claims systems, working with the Business Operations Team to translate workflow processes into actionable business requirements for software development. The role emphasizes listening, problem-solving, and cross-functional collaboration across management and field operations.

The incumbent will partner with stakeholders to identify automation opportunities, establish quality controls, and maintain comprehensive

Qualifications

Bachelor's degree or 5+ years healthcare/medical experience
Analytical, problem-solving, and communication skills
Experience translating business needs into software requirements
Experience documenting processes and workflows
Proven ability to work with both technical and non-technical stakeholders
Proficient in MS Excel and common MS Office tools
Familiarity with care management or claims systems is a plus

Responsibilities

Collaborate with software engineers and stakeholders to understand claims and care management applications
Identify, analyze, and implement enhancements as requested
Explore automation opportunities for quality controls in core products
Maintain documentation and follow team protocols
Diagnose complex business problems and translate to system requirements
Follow escalation protocols to manage release backlogs
Develop deep business and system knowledge
Work with stakeholders to improve workflows and product delivery
Produce clear issues and research documentation