Business Analyst – Program Integrity Vendor Audits (Remote)
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Job Location:
Norfolk, MA - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
City/State
Norfolk VAWork Shift
First (Days)Overview:
Overview
We are looking for a meticulous and analytical Business Analyst to oversee the management of third-party vendors. This role will be responsible for analyzing vendor performance identifying cost-saving opportunities and is critical in ensuring vendor compliance with contractual regulatory and operational standards. The ideal candidate will bring strong analytical skills audit/claims experience and a collaborative mindset to support risk mitigation and performance improvement across the vendor landscape.
Key Responsibilities:
- Analyze audit findings and vendor performance data to identify trends risks and improvement opportunities.
- Data extraction & Analysis
- Regulatory Reporting & KPI Development
- Serve as a liaison between vendors and providers to resolve issues and improve service delivery.
- Track and evaluate vendor performance using KPIs and SLAs.
- Conduct regular vendor reviews and audits to ensure compliance and quality standards.
- Evaluate vendor adherence to Business Associate Agreements (BAAs) SLAs and quality standards.
- Recommend enhancements to vendor audit frameworks tools and documentation practices.
- Contribute to the development of policies and procedures for vendor oversight and governance.
- Support continuous improvement initiatives in vendor lifecycle management.
- Maintain documentation of audit procedures findings and follow-up actions.
- Contribute to the development of vendor audit policies and workflows.
Preferred Skills:
- Knowledge of Databricks
- Knowledge of SQL
- Experience in regulated industries (e.g. healthcare finance insurance).
- Experience and/or knowledge of medical coding and inpatient auditing
Education
- Bachelors Degree (Required)
Certification/Licensure
- No specific certification or licensure requirements
Experience
- 3 years of relevant experience in business analysis data reporting or analytics (Required)
- Must have 3 years of experience in business analysis auditing claims vendor management or compliance.
- Knowledge of business intelligence (BI) tools SQL querying and reporting software.
- Required to have experience working with health insurance claims data and auditing claims data
- Excellent written and verbal communication skills.
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
IC
Key Skills
- Project / Program Management
- Program Management
- Data Collection
- Military Experience
- Microsoft Powerpoint
- Earned Value Management
- Sharepoint
- Microsoft Project
- Budgeting
- DoD Experience
- Financial Management
- Contracts
About Company
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.
