Business Analyst II - Claims Configuration

Location: St. Louis, MO, United States
Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function
 
  • Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
  • Identify and analyze user requirements, procedures, and problems to improve existing processes
  • Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation 
  • Identify ways to enhance performance management and operational reports related to new business implementation processes
  • Develop and incorporate organizational best practices into business applications
  • Lead problem solving and coordination efforts between various business units
  • Assist with formulating and updating departmental policies and procedures

Qualifications:

 Education/Experience:
  • Benefits and Payment Configuration experience 
  • Bachelor’s degree in related field or equivalent experience.
  • 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience.
  • Advanced knowledge of Microsoft Applications, including Excel and Access preferred.
  • Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. 
  • Knowledge of provider reimbursement methodologies preferred.
  • Previous structured testing experience preferred.
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