Business Analyst for FEP Quality
6 days ago
Quality FEP Business Analyst
Job Description:
We are seeking a skilled Business Analyst to join our team at Dale Workforce Solutions. As a Business Analyst for FEP Quality, you will work in a production environment handling transactions and providing business support to teams as needed.
Key Responsibilities:
Handle claims production tasks such as written inquiries and reconsiderations and related adjustments to attain FEP Performance metrics
Assess FEP procedures and regulations and incorporate required controls into specifications and/or documentation
Identify process improvements and develop workflow and/or system recommendations
Support FEP audits, including research claims related issues/questions and preparation of appropriate audit responses
Develop and maintain user documentation/desk level procedures ensuring the most current information is available to the claims team
Requirements:
High School Diploma or GED, 4 years' experience in a Claims/Service operations environment OR Associate degree or minimum two-year Federal Employee Health Benefits Plan work-related experience, bachelor's degree preferred
Knowledge of systems, process flows, regulatory impacts, and timelines to ensure requirements, testing and implementation are in compliance across operational disciplines
Excellent written and verbal communication skills are required to provide business units with information
Maintain flexibility in a team environment and identify process improvement opportunities and define system impacts that may result
Experience in auditing, quality review or transaction processing experience
Demonstrated understanding of FEP policies, processing standards and guidelines
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