![Zelis Healthcare](https://media.trabajo.org/img/noimg.jpg)
Healthcare Business Analyst
2 weeks ago
At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions.
In this role, you will work as part of the Product team to facilitate clear and open communication between Business Owners, Scrum/Development, Quality Assurance, UAT and Product Owners. This role provides a major contribution to source technological improvements, process improvements, enhancements to workflow, ultimately enhancing Zelis' overall capacity to meet the information technology needs of an ever-changing payment integrity market.
Key Responsibilities
-
Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment review through our suite of solutions
Provide documentation for system/process updates and existing system functionality for reference by operationsand alternate teams
Support training to operations on newly released items
Recommend process, workflow and efficiency improvements
Communicate product development improvementsand new product solutions being taken to market
Draft and send release notes and organize user requirements; track and manage accordingly
Qualifications
Basic or advanced understanding of payment integrity, claim processing and/or revenue cycle for healthcare claims
Understanding of medical coding and medical claims
Project Management experience; ability to drive output from others without direct supervisory responsibility
Moderate to advanced experience with Microsoft Office Suite, JIRA + Confluence
#LI-Hybrid
As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We're Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
Commitment to Diversity, Equity,Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com
SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you're contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.
-
Business Analyst
2 weeks ago
St Petersburg, United States Intelliswift Full time100% RemoteSr. Business Analyst to join our IT RJ Bank Corporate Banking team.This individual will be responsible for writing system requirements that will ensure the technology solution will meet the needs of the business.Creates detailed business requirements for functional (e.g., business processes, rules) and non-functional (e.g., data, security)...
-
Technical Business Analyst
2 weeks ago
St Petersburg, United States eTeam Full timeDescriptionThis Senior Business Analyst, Technology position at our company offers a hybrid work model, combining office presence with remote work. The selected candidate will be expected to be in the office 2-3 days a week at our St. Petersburg, FL location.Job Summary:As a Senior Business Analyst, Technology, you will collaborate closely with the...
-
Senior Business Analyst, Technology
2 weeks ago
St Petersburg, United States Raymond James Financial Services Full timeJob Title: Senior Technical Business Analyst at Raymond James Trust CompanyJob Summary: Join our System Engineering and Support Team at Raymond James Trust as a Senior Technical Business Analyst. In this role, you will collaborate with Trust business group and IT Partners to implement technology solutions, supporting various in-house and vendor-based...
-
Healthcare Business Analyst
1 month ago
St Louis, United States Zelis Healthcare Full timePosition Overview At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions. In this role, you will work as part of the Product team to facilitate...
-
Healthcare Business Analyst
4 weeks ago
St Louis, United States Zelis Healthcare Full timePosition Overview At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions. In this role, you will work as part of the Product team to facilitate...
-
Senior Business Analyst, Technology
2 weeks ago
St Petersburg, United States Raymond James Financial Services Full timeDescription Note: This position will follow our hybrid work model, we expect the selected candidate to be in the office 2-3 days a week at the St. Petersburg, FL Corporate Office location. Job Summary: As part of our Raymond James Trust System Engineering and Support Team, the Senior Technical Business Analyst will act as a partner with the Trust business...
-
Senior Business Systems Analyst
3 weeks ago
St Petersburg, United States Raymond James Financial Services Full timeDescription Note: This position will follow our hybrid work model, we expect the selected candidate to be in the office a minimum of 8 days per month at the St. Petersburg, FL Corporate Office location. Job Summary: As part of our Raymond James Bank Technology team, the Senior Business Systems Analyst will act as a partner with the Bank business group and...
-
Senior Technical Business Analyst
1 week ago
St Paul, United States IDR Healthcare Full timeSenior Technical Business Analyst IDR is seeking a Senior Technical Business Analyst for one of our top Healthcare clients in Rochester, MN. If you are looking for an opportunity to join a large organization and work within an ever-growing team-oriented culture, please apply today! This is a fully remote role! Responsibilities of the Senior...
-
Senior Business Analyst, Technology
7 days ago
St Petersburg, United States Raymond James Full timeNote: This position will follow our hybrid work model, we expect the selected candidate to be in the office 2-3 days a week at the St. Petersburg, FL Corporate Office location. Job Summary: As part of our Raymond James Trust System Engineering and Support Team, the Senior Technical Business Analyst will act as a partner with the Trust business group and IT...
-
Senior Business Analyst, Technology
4 weeks ago
St Petersburg, United States Raymond James Financial Services Full timeDescription Note: This position will follow our hybrid work model, we expect the selected candidate to be in the office 2-3 days a week at the St. Petersburg, FL Corporate Office location. Job Summary: As part of our Raymond James Trust System Engineering and Support Team, the Senior Technical Business Analyst will act as a partner with the Trust business...
-
Senior Business Analyst, Technology
3 weeks ago
St Petersburg, United States Raymond James Financial Services Full timeNote: This position will follow our hybrid work model, we expect the selected candidate to be in the office 2-3 days a week at the St. Petersburg, FL Corporate Office location. Job Summary: As part of our Raymond James Trust System Engineering and Support Team, the Senior Technical Business Analyst will act as a partner with the Trust business group and IT...
-
St Louis, United States Codebase Inc Full timeBusiness System Analyst with expertise in US Healthcare Payer spaceYears of Experience: 8+ yearsLocation: St. Louis, MO (Remote is OKAY)Duration : 1 Year Our client is looking for a highly skilled and detail-oriented Business System Analyst with expertise in US Healthcare Payer space. The ideal candidate is expected to have Deep understanding of US...
-
St. Louis, United States Codebase Inc Full timeBusiness System Analyst with expertise in US Healthcare Payer spaceYears of Experience: 8+ yearsLocation: St. Louis, MO (Remote is OKAY)Duration : 1 Year Our client is looking for a highly skilled and detail-oriented Business System Analyst with expertise in US Healthcare Payer space. The ideal candidate is expected to have Deep understanding of US...
-
Senior Business Analyst
2 weeks ago
St Petersburg, United States Intelliswift Full timeJob Summary Client is seeking a well-rounded Sr. Business Analyst to join our technology team to help transform the platform and processes to onboard advisory firms. This individual will be responsible for writing system requirements that will ensure the technology solution will meet the needs of the business. Leverages appropriate technical resources....
-
Sr IT Business Analyst
3 weeks ago
St. Petersburg, United States HSN Full timeThe Opportunity Reporting to the Director, Software Engineering, Information Technology, the Senior Business Analyst with advanced expertise in many tools for process analysis and requirements development and documentation. You will analyze the most complex projects that typically involve multiple systems, new technologies, growth and risk, and...
-
Senior Business Analyst, Technology
12 hours ago
St Petersburg, United States Raymond James Financial Incorporated Full timeNote: This position will follow our hybrid work model, we expect the selected candidate to be in the office 2-3 days a week at the St. Petersburg, FL Corporate Office location. Job Summary: As part of our Raymond James Trust System Engineering and Support Team, the Senior Technical Business Analyst will act as a partner with the Trust business group and IT...
-
Senior Business Systems Analyst
4 weeks ago
St Petersburg, United States Raymond James Financial Incorporated Full timeNote: This position will follow our hybrid work model, we expect the selected candidate to be in the office a minimum of 8 days per month at the St. Petersburg, FL Corporate Office location. Job Summary: As part of our Raymond James Bank Technology team, the Senior Business Systems Analyst will act as a partner with the Bank business group and IT Partners to...
-
Senior Technical Business Analyst
4 weeks ago
St Paul, United States IDR Healthcare Full timeIDR is seeking a Senior Technical Business Analyst for one of our top Healthcare clients in the Rochester, MN. This is a 1 year remote contract role. If you are looking for an opportunity to join a large organization and work within an ever-growing team-oriented culture, please apply today! Responsibilities: Collaborate with stakeholders to document business...
-
Technical Business Analyst
3 weeks ago
St Petersburg, United States eTeam Full timeDescriptionThis position will follow hybrid work model, we expect the selected candidate to be in office 2-3 days a week at the following office location: St. Petersburg, FL.Job Summary:This Senior Business Analyst, Technology will partner closely with the supervision and compliance Technology Business Unit on solutions from inception through ongoing...
-
Technical Business Analyst
4 weeks ago
St. Petersburg, United States eTeam Full timeDescriptionThis position will follow hybrid work model, we expect the selected candidate to be in office 2-3 days a week at the following office location: St. Petersburg, FL. Job Summary: This Senior Business Analyst, Technology will partner closely with the supervision and compliance Technology Business Unit on solutions from inception through ongoing...