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.
Junior ERP Consultant responsible for managing ERP implementation projects. Part of a dynamic team at much. GmbH specializing in business IT and ERP systems.
Business Analyst developing Big Data solutions to support multiple business units at Kyivstar. Structuring business needs and ensuring clear specifications for implementation.
Business Analyst supporting IT projects through planning and oversight of business analyses and process improvements. Collaborating with clients to supervise project goals and progress.
Business Analyst - Application Support focusing on analyzing business processes and enhancing user experience. Addressing client needs and driving continuous improvement initiatives.
Incident Management Analyst supporting IT incident response and coordination for global IT services in fast - paced environments. Collaborating with technical teams and stakeholders for efficient incident management.
Graduate Business Analyst supporting global business operations at an international provider of institutional debt administration services. Responsible for delivering key initiatives by aligning people, processes, technology, and data.
Sales Business Analyst key member in presales organization at Malbek, translating customer requirements into solution demonstrations. Supports RFP driven sales motions by analyzing customer requirements.
Lead Business Analyst responsible for translating business strategy into operational model and requirements at Manulife. Collaborating with stakeholders to ensure successful delivery of projects while supporting compliance and audit standards.
Technical Business Analyst within Flutter Functions division shaping IT solutions and ensuring alignment with business objectives. Collaborating across teams for operational efficiency and secure technology delivery.
Technical Payments Business Analyst translating business needs into actionable technical requirements. Collaborating with stakeholders on payment flows, APIs, and complex workflows in a hybrid model.