Senior Business Analyst - Operations

7 days left

Location
Virginia Beach, VA
Salary
Competitive
Posted
Feb 07, 2019
Closes
Feb 23, 2019
Ref
120437BR
Function
Management
Industry
Healthcare
Hours
Full Time
Overview:

Optima Healthcare is currently recruiting for a Sr. Business Analyst to work in their Operations department at their Virginia Beach location!

Experience:
Minimum 3 years related experience in managed care - IT, reporting, auditing, and/or operations
Prior Auditing and IT experience is PREFERRED
Prior Managed Healthcare experience is REQUIRED

Educational Requirement: Bachelor's level degree or higher

Shift - Day shift, M-F. Full Time - 40 hrs/wk
Location: Virginia Beach Blvd. and Witchduck Rd. area

•Ability to adapt to changes in process
•Detailed in all aspects of work
•Excellent customer service skills both to external customers and internal customers
•Ability to work on a team but also function independently
•Ability to recognize the importance of prior authorization and its impact on the provider and the member affected
•Familiarity with Medical Terminology
•Previous health insurance companies is a plus.

This position is with our Optima Community Care division of Shared Services

Other
Related experience will be in one of the following areas, operations, IT, or reporting.

Responsibilities:

This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment.

Qualifications:

Education Level
Bachelor's Level Degree

Experience
Required: Related - 3 years

Preferred: None, unless noted in the "Other" section below

License
None, unless noted in the "Other" section below

Skills
Required:

Preferred: None, unless noted in the "Other" section below

Similar jobs