Business Analyst for Implementation

1 day ago


Annapolis, Maryland, United States Evolent Health Full time

Evolent Health is committed to providing high-quality healthcare services to our clients and patients. We are seeking a highly skilled Business Analyst for Implementation to join our team and contribute to the success of our implementation projects.

The estimated annual salary for this position is $120,000 - $145,000, based on location and experience. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors.

About the Role:

This individual will be responsible for defining requirements, facilitating communication between business/IT teams, and identifying discrepancies and anomalies within automated data reconciliation and disputed data.

Key Responsibilities:

  • Develop a deep understanding of end user outputs, platform development & configuration, multisystem functional requirements, business rules, and leverage that knowledge to improve processes, recommend solutions, enhance team performance, and drive progression of client objectives.
  • Document business and system requirements standards when new system enhancements or engineering changes are required.
  • Analyze and address process and software gaps.

Required Skills and Qualifications:

  • Bachelor's degree or equivalent experience.
  • Able to own and write the Business Requirement Document (BRD) independently for any given domain function with minimal assistance.
  • 5-8+ years of IT and/or business experience in an HMO/PPO Claims, Medicaid, Medicare, and/or managed care healthcare environment.
  • Knowledge of the Affordable Care Act, HMO and managed care principles including Medicaid and Medicare regulation.
  • Extensive experience with the System Design Life Cycle (SDLC).
  • Experience with EDI X12 structure and syntax rules; chiefly with 834 files.
  • Superior root cause analysis skills, including corrective action planning and ability to provide documentation to support analysis.

Benefits:

We offer comprehensive benefits, including health insurance benefits, to qualifying employees. As part of our total compensation package, Evolent is proud to offer competitive salaries and bonuses to selected individuals based on their skills and experience.



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