Business Analyst - Dispute Processing and Analysis

Business Analyst

Remote / Required - US Citizenship

The Business Analyst will be a part of a fully remote team supporting dispute processing and analysis for reconciliation of data from the health insurance exchanges. The Business Analyst is responsible for coordinating business objectives, reviewing presentation materials and metrics, delivering content, analyzing data, quality control of deliverables, research of complex issues, and communication with internal and external customers. The Business Analyst will also be responsible for continuous process improvement of the reconciliation process. He/she will provide content to and for collaboration with training staff on training stakeholders on triaging transactions and the reconciliation process. The Business Analyst will also be responsible for responding to ad-hoc requests from multiple internal and external stakeholders across multiple teams.

Key Responsibilities:

• Prepares and validates reports and presentations, including dispute metrics, team performance, and topics related to issuer and state performance
• Identifies, documents, and analyzes discrepancies and anomalies within automated data reconciliation and issuer dispute data, including processing disputes
• Develops a deep understanding of the business rules, and leverages knowledge to improve processes, recommend solutions, enhance team performance, and drive progression of client objectives
• Communicates effectively with internal and external clients, including the ability to speak to large audiences and present on webinars

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• Explains complex technical issues in terms that a non-technical person can easily understand
• Acts as an advisor to management, executives, and stakeholders
• Takes minutes and tracks questions, deliverables and action items
• Develops As-Is and To-Be models as part of reengineering projects
• Root cause analysis and articulation of the results Required minimum qualifications: Candidates that do not meet the required qualifications will not be considered.
• Bachelor’s Degree or equivalent OR 4 years’ relevant experience in lieu of degree.
• Experience analyzing data and presenting to stakeholders.
• Must be a US Citizen

Preferred qualifications:

• Experience with SQL, Power BI, or other reporting tools
• Experience in Finance or Health Care
• Experience with Affordable Care Act
• Strong analytical capabilities to understand data sets to derive business conclusions while identifying anomalies based on business rules
• Demonstrated breadth and depth of experience regarding data analysis/reconciliation
• Ability to thrive in a fast-paced, ever changing work environment
• Demonstrated problem-solving, and critical thinking skills
• Demonstrated relationship building and self-managing skills
• Ability to manage and deliver multiple tasks with focus on quality and completeness