Judi Health
Healthcare
SeniorBusinessAnalyst,GovernmentProgramsOperationsClaims&Encounters
“Senior Business Analyst, Government Programs Operations Claims & Encounters at Judi Health. Skills: Business Analyst, Government Programs Operations, Claims & Encounters, business process analysis, Government Exchange programs, SQL, Excel. gathering and documenting business and reporting requirements that align with state and federal guidelines. analyze complex problems and issues using available information from both internal and external sources”
Industry & Context.
analyze complex problems and issues; Identify and interpret trends in datasets to find possible outliers or patterns that can be used to drive process improvements; Drives root-cause-analysis and resolution of data and processes issues/errors; Supports analytical, problem-solving functions; Analyzes business workflow and system needs; analyzing complex data issues; Performs root cause analysis of government data processing and submission
What They're Looking For.
Must Have
3+ years of healthcare experience, 3+ years of business process analysis, preferably in healthcare, 3+ years of experience with Government Exchange programs, Demonstratable knowledge of SQL, Excel, and flow-charting tools, Experience with implementation/project management, Experience working with cross-functional teams, Extremely flexible, highly organized, excellent communication and able to shift priorities easily, Attention to detail & commitment to delivering high-quality work product, Comfort or experience in a fast-paced, growing environment, Intellectual and professional curiosity, Bachelor’s degree in Business Administration, Data Analytics, Computer Science or 3+ years of relevant experience
Nice to Have
Familiarity with the agile framework/Certified Scrum Product Owner preferred
What You'll Do.
gathering and documenting business and reporting requirements that align with state and federal guidelines
analyze complex problems and issues using available information from both internal and external sources
creating specifications documents for business processes
and analyses based on business needs
Identify and interpret trends in datasets to find possible outliers or patterns that can be used to drive process improvements
Monitors for changes in existing business processes and updates documentation accordingly
Finds new opportunities for process developments and improvements
analyze and manage requests from stakeholders
Proactively reviews business processes and data to develop subject matter expertise of processes supported by our team
Drives root-cause-analysis and resolution of data and processes issues/errors by partnering with key stakeholders
problem-solving functions by defining and documenting specifications pertinent to all departmental processes
Analyzes business workflow and system needs for conversions and migrations to ensure that government submissions
and cost savings regulations are met
Prepares end user documentation and training materials as needed
Support government data submission processes by analyzing complex data issues using data from internal and external sources
Improve government data submission processes by reviewing and synthesizing state and federal recourses
consolidating into comprehensive business requirements documents
Support creation of intake request to enhance existing processes by gathering requirements and level setting with stakeholders on required processes
Develop and set up performance metrics for stakeholder distribution
Performs root cause analysis of government data processing and submission develops recommendations based on data and industry knowledge
How You'll Work.
Team & Collaboration
Collaborates with internal and external cross-functional teams (compliance, product, sales, marketing, underwriting, implementation, client services, clinical operations) to design, refine, automate, and maintain operational capabilities; partnering with key stakeholders; gathering requirements and level setting with stakeholders on required processes
Communication Scope
excellent communication
Process & Methodology
Experience with implementation/project management
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