Healthcare Claims Business Analyst – REMOTE

Job Summary

We are looking for a Healthcare Claims BA on behalf of our client for a remote position.


Primary Responsibilities

  • 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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