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Healthcare Business Analyst

2 months ago


San Diego, California, United States Rose International Full time

Position Overview:

This role is designed for a dedicated professional with a strong analytical background in the healthcare sector. The candidate will be responsible for addressing member complaints and ensuring seamless case resolutions.

Location: Remote (Candidates must reside within a 2-hour driving distance of San Diego, CA)

Key Responsibilities:

  • Resolve coverage issues with a focus on accuracy and member satisfaction.
  • Conduct thorough research and analysis to support business case development.
  • Maintain timely follow-up on member cases to ensure effective communication.

Essential Qualifications:

  • Minimum of 3 years of relevant experience in a healthcare environment.
  • Proficient in Microsoft Office Suite, with intermediate Excel skills.
  • Strong analytical and documentation skills are crucial for success in this role.

Work Schedule:

Standard hours are from 8 AM to 5 PM, with flexibility to adapt to business needs.

Preferred Skills:

  • Experience with healthcare billing, grievance/appeals processes, and case management.
  • Familiarity with Epic and Oracle systems is advantageous.
  • Excellent communication skills to effectively relay information to team members and stakeholders.

Additional Information:

Rose International is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.