Business Analyst, Quality & Business Performance
Business Analyst, Quality & Business Performance
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Job Description
About the Business Analyst Quality & Business Performance:
The Business Analyst will be responsible for analyzing documenting and optimizing business processes within the operational performance teams. This role requires a strong understanding of healthcare operations data analysis and project management. The ideal candidate will work closely with stakeholders to identify opportunities for improvement and implement effective solutions based on data-driven trends and analyses.
This position is eligible for remote work but quarterly travel will be required to the corporate office located in Tampa Florida.
Business Analyst Quality & Business Performance Essential Functions and Responsibilities:
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Design build and conduct data analysis across multiple datasets to identify trends patterns and opportunities for improvement in healthcare processes.
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Assist in the design and implementation of healthcare IT systems and solutions ensuring they meet business needs and regulatory requirements.
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Create and deliver presentations and reports to communicate findings recommendations and project updates to stakeholders.
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Facilitate workshops and meetings with stakeholders to identify and prioritize business needs and solutions.
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Monitor and evaluate the effectiveness of implemented solutions and make adjustments as necessary.
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Develop and maintain detailed business process documentation including workflows data models and use cases for all analytics performed.
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Stay up-to-date with industry trends regulations and best practices in healthcare business analysis.
Business Analyst Quality & Business Performance Minimum Qualifications:
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3 years of experience in healthcare operations authorization or claims with a focus on quality and business performance processes.
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Bachelors degree in Business Administration Healthcare Management Information Systems Health Informatics or a related field or 7 years direct applicable experience in lieu of a degree.
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Strong analytical and problem-solving skills with the ability to interpret complex data and provide actionable insights.
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Proficiency in data analysis tools and software such as Excel Tableau Power BI SQL and data visualization tools.
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Knowledge of healthcare regulations standards and best practices including authorization and claims editing systems.
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The ideal candidate is analytical detail-oriented and exhibits systems thinking to troubleshoot and improve validation workflows. Experience with healthcare analytics platforms and tools.
Business Analyst Quality & Business Performance Preferred Qualifications:
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Masters degree in Health Informatics Information Systems Healthcare Administration or a related field.
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Demonstrated expertise in clinical claims editing systems.
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Strong knowledge of regulatory requirements and compliance standards in healthcare including HIPAA CMS guidelines and payer-specific rules.
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Proven track record of process improvement automation in quality or business performance.
Employment Type
Full Time
