Business Analyst III, Appeals

This is a fully remote position, open to applicants in Alabama, +15 more states.

📋 Description

• Conduct analyses and interpretations to align business needs and objectives across appeals operations.

• Facilitate business initiatives by analyzing appeals data, validating information, identifying trends, recognizing implementation challenges, and performing user acceptance testing across various systems.

• Assess and analyze user requirements, processes, and issues to enhance current operations.

• Execute in-depth analyses on multiple projects, including root cause assessments and compliance monitoring.

• Propose potential business solutions and ensure their effective implementation.

• Explore methods to improve performance management and operational reports across various markets, business lines, and appeals service areas.

• Collaborate with different business units and departments to develop and deliver training programs.

• Create, disseminate, and integrate organizational best practices into business applications.

• Identify issues and opportunities for process redesign and enhancement.

• Develop and update departmental policies and procedures.

• Act as the subject matter expert for the assigned function and appeals reporting processes to guarantee operational efficiency.

• Undertake other responsibilities as assigned.

• Adhere to all company policies and standards.

⛳️ Requirements

• Must be eligible to work in the U.S. without requiring employment-based visa sponsorship now or in the future.

• Experience in appeals is highly desirable, including familiarity with appeals processes, compliance standards, and appeals data.

• Proficient in advanced Excel functionalities.

• Experience with large datasets, data validation, trend analysis, operational reporting, and root cause analysis is strongly preferred.

• Preferred skills include strong analytical abilities, problem-solving capabilities, effective communication, and presentation skills.

• Preference for candidates located remotely within the Central Time Zone.

• Willingness to travel is required.

• Bachelor’s degree in a related field or equivalent experience is necessary.

• 4-6 years of experience in business process or data analysis, preferably within the healthcare sector.

• Project management experience is advantageous.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plan.

• Tuition reimbursement.

• Paid time off in addition to holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional incentives may be part of the total compensation package.

• Equal opportunity employer dedicated to promoting diversity.