ACA Business Analyst

2 months ago


Princeton, United States Diverse Lynx Full time
Job Title: ACA Business Analyst

Location: 100% remote (Note - If you reside in the Tampa area this role is hybrid)

Duration: Fulltime Permanent

Interview - Virtual (2 rounds of interview)

Roles & Responsibilities:

Position Summary: The ACA and/or Medicare and/or Medicaid Business Analyst will support the analysis and optimization of ACA Enrollment Reconciliation processes. This role requires a strong understanding of ACA guidelines and operational procedures, including data reconciliation, RCNI/RCNO file handling, and error resolution. The Analyst will work closely with senior analysts, operations, and IT teams to ensure accurate and efficient enrollment data management.

Key Responsibilities:
• ssist in the analysis of ACA and/or Medicare and/or Medicaid Enrollment Reconciliation processes to identify areas for improvement.
• Support the validation of RCNI and RCNO files.
• Collaborate with IT to implement system enhancements that support reconciliation activities.
• Maintain documentation of business processes, including workflows and standard operating procedures.
• nalyze reconciliation data to identify discrepancies and work with operations to resolve them.
• Provide support and assistance to senior analysts and other team members as needed.
• Prepare reports on reconciliation activities and outcomes.

Qualifications:
• Bachelor's degree in Business, Finance, IT, or a related field.
• 3+ years of experience in ACA and/or Medicare and/or Medicaid business analysis or a similar regulatory environment.
• Strong analytical and problem-solving skills.
• Knowledge of ACA and/or Medicare and/or Medicaid Enrollment Reconciliation processes, including Pre-Audit, RCNI, and RCNO submissions.
• Experience with data analysis tools and techniques.
• Good communication and documentation skills.
• bility to work collaboratively with cross-functional teams.

Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.

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