Senior COB Operations Analyst - Rules & AI-Driven Strategy

Robotics Technologies LLC; Washington (District of Columbia); Vor Ort; USD 110.000 - 150.000; Vollzeit

Zusammenfassung

Robotics Technologies LLC seeks a Business Analyst to act as SME for Coordination of Benefits operations, payer enrollment, and eligibility workflows. You will lead workshops with payer operations, business users, product owners, and executives to refine processes and governance.

You will document guidelines and define future COB capabilities for a modern platform. The role emphasizes translating complex requirements into epics and user stories, performing current and future-state analyses, and

Qualifikationen

• Lead SME-level workstreams for Coordination of Benefits operations and payer enrollment processing.
• Translate requirements into epics, features, and user stories for COB platforms.
• Document NAIC COB guidelines, MSP rules, Medicaid regulations, and state COB requirements.

Aufgaben

• Lead workshops with payer operations, business users, product owners, and executives.
• Analyze and rationalize COB business processes and workflows.
• Drive governance and traceability from regulations to platform implementation.
• Define future-state capabilities for modernized COB ecosystems.

Kenntnisse

COB operations

payer enrollment

primacy determination

overlap management

eligibility workflows

Tools

ChatGPT

Claude

Copilot

Gemini

Jobbeschreibung

Robotics Technologies LLC seeks a Business Analyst to act as SME for Coordination of Benefits operations, payer enrollment, and eligibility workflows. You will lead workshops with payer operations, business users, product owners, and executives to refine processes and governance.

You will document guidelines and define future COB capabilities for a modern platform. The role emphasizes translating complex requirements into epics and user stories, performing current and future-state analyses, and