FEP Business Process Specialist

1 week ago


United, United States Dale Workforce Solutions Full time

Job Title: Quality FEP Business Analyst

We are seeking a skilled Quality FEP Business Analyst to 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.
  • Assess FEP procedures and regulations, and incorporate required controls into specifications and documentation.
  • Identify process improvements and develop workflow and/or system recommendations.
  • Support FEP audits, including research claims-related issues/questions and preparation of audit responses.
  • Develop and maintain user documentation/desk-level procedures.

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.
  • Knowledge of systems, process flows, regulatory impacts, and timelines to ensure requirements, testing, and implementation are in compliance.
  • Excellent written and verbal communication skills.
  • Maintain flexibility in a team environment and identify process improvement opportunities.
  • Experience in auditing, quality review, or transaction processing.

About Dale Workforce Solutions:

Dale Workforce Solutions is a leading provider of workforce solutions, helping organizations like yours find the talent they need to succeed.



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