Job ID:AZ-CT-4163
Job Title:SR. BUSINESS ANALYST (MANAGED CARE
Rate:
Primary Skills:
Description:

SR.
BUSINESS ANALYST (MANAGED CARE) – TEMPE, AZ



 



NEW position in TEMPE! 
Combine your expert clinical knowledge and skill in managed care analytics.



Serve as the SME for this medical management area.



      (Will relocate within the region)



-Perform and lead various analysis and interpretation to link
business needs and objectives and implement process improvements.





- Lead the support of business initiatives through data analysis,
identification of implementation barriers and user acceptance testing of
various systems





- Lead the identification and analysis of user
requirements, procedures, and problems to improve existing processes





-Resolve issues and identify opportunities for
process redesign and improvement





-Perform detailed analysis on multiple
projects, recommend potential business solutions and ensure successful
implementations, including improvements and revisions to business processes and
requirements





-Evaluate risks and concerns and communicate
to management





-Coordinate with various business units and
departments in the development and delivery of training programs





-Develop, share, and incorporate
organizational best practices into business applications





-Oversee all changes to departmental policies
and procedures, including communicating and implementing the changes





-Serve as the SME on the assigned function
product to ensure operational performance





Qualifications:



Must Have great rounded knowledge Managed Care and Clinical
knowledge.



(UM, Prior Authorization, Claims, Billing, Coding, G&A,
HEDIS)



SQL experience is a must (but 2nd to Clinical and Managed care)



**** This is not an IT or Data heavy role – need the expert
clinical knowledge.





-Bachelor’s degree in related field or equivalent experience.



-6+ years of business process or data analysis preferably in
healthcare or 5+ years of HEDIS analysis.



 



Preferred Skills :



Advanced knowledge of Microsoft Applications, including Excel
and Access preferred.



Project management experience preferred.