Business Analyst specializing in CRM for product backlog creation and team collaboration. Working with Product Owner and Development teams to manage user stories and test cases.
About the role
- Business Analyst II managing payment integrity recovery requests in healthcare. Collaborating with teams to analyze claims and ensure compliance with health regulations.
Responsibilities
- Analyzes business needs to determine optimal means of meeting those needs.
- Determines specific business application software requirements to address specific business needs.
- Works with programming staff to ensure requirements will be incorporated into system design and testing.
- Acts as liaison with users of the software to address questions/issues.
- Review and evaluate payment integrity recovery requests from external partners to determine validity and appropriateness.
Requirements
- Requires a BA/BS and minimum of 3 years related business analysis experience
- 2–4 years of experience in healthcare claims analysis, payment integrity, or related field strongly preferred
- Proficient in Facets, Macess, and Microsoft Office Suite (Excel, Word, Outlook) preferred
- Experience in payment integrity or claims recovery functions within a health insurance or managed care environment strongly preferred
- Familiarity with data analysis or query tools (e.g., SQL, Tableau, or similar) preferred.
Benefits
- Health insurance
- 401(k) matching
- Paid time off
- Remote work options
- Flexible work hours
Job title
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