We are looking for a Healthcare Claims BA on behalf of our client for a remote position.
- Supports planning and execution of small to large-scale operational initiatives and technology implementations.
- Harvest as-is business performance according to approved methodology and perform process analysis of as-is and formulation of to-be business processes.
- Standardize and optimize current processes to enable them for process automation, digital initiatives, system deployments, new products etc.
- Connect process efforts to other key initiatives (Digital, Claims Technology, etc.) to ensure broader strategic alignment.
Education and Experience
- 5+ years experience within Health Plan Operations/Claims Ops
- 2+ years experience with Plexis Healthcare System
- Experience with implementation of a new claim system preferred
- Deep understanding of claims operations and business process workflow
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