Business Analyst – Operations (Remote in VA & NC) – Sentara Health – Norfolk, VA – work from home job
Company: Sentara Health
Job description: Sentara Health is currently seeking a full-time remote Business Analyst – Operations for Sentara Health Plans.
Remote opportunities available in the following states: Virginia and North Carolina
Hours of operations: Monday – Friday, 8am – 5pm (EST)
Job Description Summary
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The Fee Team is responsible for managing all the fee updates, reimbursements, rate enhancements and contract updates. The Business Analyst role is a critical need for our team. The Business Analyst role plays an intricate part in supporting the Senior Business Analyst as well as a reliable backup for the rest of the fees/configuration team. This role serves as a reliable bridge between management, IT, and the end users.
Responsibilities include but are not limited to:
DMAS annual updates (BH & Commercial)
Maintaining the pricing environments 3M, nThrive , NetworX and Modeler
Analyzing and evaluating fees to ensure accuracy and compliance with regulations
Maintaining the fee structures in both systems (CSC and QNXT)
Maintaining the contracts in both systems (CSC and QNXT)
Project implementation (testing, research, thorough analysis, payment methodologies, recommending reimbursement process)
Required Education:
Bachelor’s degree preferred
Job Requirements:
Required: Related experience – 1 year
Preferred: QNXT experience
Preferred: SQL experience
Sentara Benefits:
Sentara employees strive to make our communities healthier places to live. Weâre setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, https://www.sentaracareers.com/explore-sentara/benefits/
Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!
Designs, produces and analyzes customer operations data. Creates and maintains reports for business operations and special projects as it pertains to operational processes. Utilizes knowledge of numerous applications, databases, information systems, statistical tools and analytical principles to monitor and analyze information in support of the business. Assists in the implementation, maintenance and improvement of information systems. Related experience will be in one of the following areas, operations, IT, or reporting.
Bachelor’s Level Degree
Related 1 year
Complex Problem Solving
Microsoft Excel
Systems Analysis
Communication
Expected salary:
Location: Norfolk, VA
Job date: Thu, 21 Sep 2023 06:41:48 GMT