Claims Business Analyst

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Analyze, plan, design, document, and provide recommendations for enhancing business processes that support clients’ technological goals.

• Act as a liaison among clients, project managers, and technical teams.

• Define, monitor, and convey business requirements along with their anticipated impact.

• Construct basic conceptual data and process models.

• Develop, execute, or evaluate basic test scenarios to confirm that client requirements are integrated into system design.

• Engage in technical reviews and inspections to ensure that the intent of changes is realized throughout each project phase.

• Assist clients in achieving improved health and human services outcomes by leveraging innovative technology and solutions.

⛳️ Requirements

• Over 9 years of experience as a Business Analyst in the Healthcare sector.

• Preferred experience with Medicaid and Medicare.

• Strong analytical and problem-solving capabilities.

• Background in business process improvement and re-engineering.

• Proficient in Microsoft Excel, with a focus on quantitative analysis and data-driven decision-making.

• Understanding of programming concepts, including configuration, development, and batch processing.

• Practical experience in Claims and Encounter Processing across various claim types.

• Effective communication skills with both business and technical stakeholders.

• Openness to working a flexible schedule to meet business needs, including travel as required.

• Video cameras are mandatory during all interviews and the initial week of orientation.

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for learning and career advancement.

• Access to technical credentials and certifications.

• Generous and adaptable vacation policy.

• Educational assistance available.

• Leadership and technical development academies offered.

• 401(k) employer matching program.

• Comprehensive health benefits package.

• Opportunities for travel related to work (0–10%).