Senior FEP Business Analyst
1 month ago
Job Summary:
We are seeking a highly skilled FEP Business Analyst to join our team at Pyramid Consulting, Inc. The ideal candidate will have a strong background in claims operations and a proven track record of delivering high-quality results.
Key Responsibilities:
- Handle claims production tasks, including written inquiries and reconsiderations, to achieve FEP Performance metrics.
- Assess FEP procedures and regulations, identifying areas for improvement and developing recommendations for process enhancements.
- Support FEP audits, researching claims-related issues and preparing audit responses.
- Develop and maintain user documentation and desk-level procedures to ensure accurate information is available to the claims team.
- Collaborate with the Business Support team to review FEP release documentation and participate in testing initiatives.
Requirements:
- High School Diploma or GED, with 4 years' experience in claims operations or an Associate degree with 2 years' experience in FEP-related work.
- Knowledge of systems, process flows, regulatory impacts, and timelines to ensure compliance across operational disciplines.
- Excellent written and verbal communication skills to provide business units with information.
- Maintain flexibility in a team environment and identify process improvement opportunities.
About Us:
Pyramid Consulting, Inc. is a leading health insurance industry provider, committed to delivering exceptional services to our clients. We offer a dynamic work environment, competitive compensation, and opportunities for professional growth.
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