Business Analyst IV - Healthcare

Location: St. Louis, MO
Business Analyst IV
 
Joining this team means you'll be surrounded by colleagues who are dedicated to meeting their own high standards, to inspiring their teammates and to making a positive impact on under-insured and uninsured individuals. The group is a fast, agile, customer-focused organization with a commitment to implementing the latest technologies.
 
Our client serves more than 55 million managed care members through their portfolio of high-quality commercial and government sponsored healthcare programs. The broad offering of programs that they provide has helped them to build both capacity and capability to successfully navigate a changing healthcare environment, while continuing to offer better health outcomes at lower costs.
 
Position Purpose:
Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.
 
Job Description:
  • Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
  • Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes
  • Resolve issues and identify opportunities for process redesign and improvement
  • Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements
  • Evaluate risks and concerns and communicate to management
  • Coordinate with various business units and departments in the development and delivery of training programs
  • Develop, share, and incorporate organizational best practices into business applications
  • Oversee all changes to departmental policies and procedures, including communicating and implementing the changes
  • Serve as the subject matter expert on the assigned function product to ensure operational performance
  • Ability to travel
 
Qualifications:
Education/Experience:
  • Benefits and Payment Configuration
  • Bachelor’s degree in related field or equivalent experience.
  • 6+ years of business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience.
  • Advanced knowledge of Microsoft Applications, including Excel and Access preferred.
  • Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies.
  • Knowledge of managed care information or claims payment systems preferred.
  • Previous structured testing experience preferred.
  • Double Digit experience in Amisys Benefits Configuration in the Commercial Insurance Industry STRONGLY PREFERRED.
 
License/Certification:
  • N/A
 
Our client offers options that allow you to do more than just plan for retirement. Their programs allow shared success with employees.
  • 401(k) with company match
  • Employee stock purchase plan
  • Training and Learning Opportunities/Tuition Reimbursement/Educational Assistance
  • On-site fitness center or discount at local fitness centers (most locations)
  • Discounts for select local and national products and services, including cell phones, computers and more
  • Other amenities may be available, but vary by location
 
Equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
 
 
 
 
April A. Estes
Senior Recruiter
720-439-2609 Direct
april@proenlist.com 
www.proenlist.com 
www.medenlist.com 

www.linkedin.com/in/aprilaestes
 
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