Senior Business Analyst

2 weeks ago


East Hartford, Connecticut, United States CorVel Healthcare Corporation Full time
Job Overview

As CorVel Healthcare Corporation continues to expand, we recognize the necessity for a skilled Business Analyst within our Business Operations Team (BOT). This team is tasked with documenting and streamlining workflows and automation across various proprietary system applications, including CorVel's Claims Management, CareMC, and MedCheck systems along with their associated modules.

Role Responsibilities:

The selected candidate will collaborate with both business stakeholders and software engineering teams to:

  • Define requirements and develop innovative solutions.
  • Automate diverse business processes within our systems.
  • Utilize expertise in specific product lines while engaging in cross-functional projects.

This position demands a detail-oriented individual with strong analytical capabilities and organizational skills, capable of delivering high-quality outcomes under stringent deadlines.

Key Duties Include:

  • Engaging with team members, software engineers, and business stakeholders to gain in-depth knowledge of bill review applications and their functionality in production environments.
  • Collaborating with business users and technical staff to identify, analyze, and implement requested enhancements.
  • Working alongside business stakeholders to uncover new automation opportunities and enhance quality controls in core products.
  • Applying process and system knowledge to diagnose and resolve intricate business challenges.
  • Following established escalation protocols for issues that may hinder release timelines.
  • Documenting and communicating all issues identified during analysis and project research.

Essential Qualifications:

  • 5+ years of experience in the healthcare or medical/pharmaceutical sectors.
  • Proficiency in ancillary or PBM networks and their applications.
  • Strong analytical and problem-solving skills with a technical aptitude.
  • Familiarity with application development and project management principles.
  • Excellent communication skills, capable of conveying complex ideas in straightforward terms.
  • Advanced proficiency in Microsoft Excel, Word, and Outlook; experience with Project and Visio is advantageous.

Desirable Attributes:

  • Experience with CorVel's claims system.
  • Knowledge of medical bill processing, including coding schemas such as CPT, ICD, HCPCS, NCPDP, and RBRVS.
  • Background in PPO network development or related operational concepts.
  • Experience in the health industry or insurance billing is beneficial.
  • Familiarity with project management best practices and workflow documentation.
  • Experience with reporting and analytic tools like Power BI is a plus.

Compensation:

CorVel employs a market-based approach to compensation, with salary ranges varying based on location and other factors. Pay rates are determined by federal, state, and local minimum wage requirements, geographic differentials, job-related skills, experience, qualifications, internal equity, and market conditions.

About CorVel:

CorVel is a national leader in risk management solutions for the workers' compensation, auto, health, and disability management sectors. Established in 1987 and publicly traded since 1991, we prioritize innovation and integration in our services. Our supportive culture fosters career advancement opportunities, guided by our core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT).

We offer a comprehensive benefits package for full-time employees, including medical, dental, vision, long-term disability, and retirement plans.

CorVel is an Equal Opportunity Employer and maintains a drug-free workplace.



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