Business Analyst Encounters (Remote)
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Job Location:
Norfolk, MA - USA
Monthly Salary:
$ 60756 - 101254
Posted on:
8 hours ago
Vacancies:
1 Vacancy
Job Summary
City/State
Norfolk VAWork Shift
First (Days)Overview:
Overview
- Coordinate with other Encounters Department team members in the preparation validation and submission of adjudicated claims data (Encounters) to both state and federal agencies.
- Under general supervision train and develop proficiencies in data analysis techniques relating to Encounters submission data received by the Health Plan from state and federal agencies.
- Work with Sr. Business Analysts to coordinate efforts to identify analysis and remediate identified errors via reprocessing
- Over time develop sufficient operational expertise (systems and tools methodologies contractual / technical requirements) to support the Encounters workstream actively and competently in all major operational areas (data requirements data structure submissions and remediation)
- Establish and maintain working relationships with peers key departmental stakeholders and external servicing vendors relating to assigned Market(s) / Lines of Business (LOBs).
- Partner with Sr. Business Analysts and the Encounters Leadership Team in ongoing efforts to establish maintain and incorporate improvements to departmental documentation needs (task schedules submissions tracking Standard Operation Procedures (SOPs)
- Assist Sr. Business Analysts and the Encounters Leadership Team in ongoing User Acceptance Testing (UAT) needs relating to internal systems upgrades configuration changes and new vendor / LOB implementations.
Education
- Bachelors Degree preferred.
Certification/Licensure
- No specific certification or licensure requirements
Experience
Must Have :
- Three years of related experience is required in one of the following areas: Operations IT or Reporting.
- Strong attention to detail and accuracy in reporting data validation and documentation
Nice to have:
- Experience with healthcare data and systems including Encounter data 837/834 transactions EDI and related reporting
- Experience with SQL Power BI and Databricks to support analytics reporting and data validation
- Experience supporting UAT(User acceptance testing) Root Cause Analysis (RCA) and project-based initiatives
We provide market-competitive compensation packages inclusive of base pay incentives and benefits. The base pay rate for Full Time employment is:$60756.80-$101254.40. Additional compensation may be available for this role such as shift differentials standby/on-call overtime premiums extra shift incentives or bonus opportunities.
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
- SQL
- Agile
- Business Analysis
- Visio
- Waterfall
- Business Process Modeling
- Requirements Gathering
- User Acceptance Testing
- Business requirements
- SDLC
- Systems Analysis
- Data Analysis Skills
About Company
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.
