Senior FEP Business Analyst

1 month ago


Philadelphia, Pennsylvania, United States Pyramid Consulting Full time

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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