Healthcare Business Analyst

1 week ago


San Diego, California, United States Rose International Full time

Position Overview:

This role is designed for a skilled Business Analyst specializing in the healthcare sector. The successful candidate will be expected to work remotely, provided they reside within a two-hour commute from San Diego, CA.

Key Responsibilities:

  • Resolve case issues with a focus on coverage discrepancies, ensuring member complaints are addressed effectively.
  • Conduct thorough analysis and research to support daily business case development related to member grievances.
  • Perform timely follow-ups on member cases, maintaining clear communication when necessary.

Essential Qualifications:

  • Minimum of three years of relevant experience in a healthcare environment.
  • Proficient in Microsoft Office Suite, with intermediate Excel skills; training will be provided on specific systems.
  • Strong analytical skills to ensure accurate and timely case resolutions.
  • Ability to collaborate effectively within a team and foster positive relationships.
  • Excellent communication skills to provide timely feedback on issues affecting multiple members.

Work Schedule:

The expected work hours are from 8 AM to 5 PM, with flexibility required for overtime and weekend work as needed.

Additional Skills (Preferred):

  • Experience with Epic and Oracle systems is a significant advantage.
  • Familiarity with healthcare billing, grievance/appeals processes, and case management.
  • Intermediate Excel proficiency, with a minimum passing score of 80% on an online assessment.

Remote Work Requirements:

All candidates must reside within a two-hour driving distance from the designated office location in San Diego.

Benefits:

For detailed information regarding employment benefits associated with this position, please refer to the company’s official resources.

Equal Opportunity Employment:

Rose International is committed to equal opportunity in employment. All qualified applicants will be considered without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.



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