Evolent · 11 hours ago
Lead Business Analyst, Implementation
United States
Full-time
Remote
Mid, Senior Level
$100K/yr - $125K/yr
5+ years exp
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Responsibilities
Clearly define requirements, process flows, use cases, and acceptance criteria for CMS and Commercial programs.
Facilitate communication between business/IT teams, developers, and external stakeholders.
Identify, document, and analyze discrepancies and anomalies within automated data reconciliation and disputed data
Document business and system requirements standards when new system enhancements or engineering changes are required. Maintain standard templates and support ongoing maintenance
Develop a deep understanding of end user outputs, platform development & configuration, multisystem functional requirements, business rules, and leverage that knowledge to improve processes, recommend solutions, enhance team performance, and drive progression of client objectives
Prioritize mitigation efforts for action items, risks, and issues.
Analyze and address process and software gaps.
Qualification
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Required
Bachelor’s degree or equivalent experience.
Able to own and write the Business Requirement Document (BRD) independently for any given domain function with minimal assistance.
5-8+ years of IT and / or business experience in an HMO / PPO Claims, Medicaid, Medicare and / or managed care healthcare environment.
Knowledge of the Affordable Care Act, HMO and managed care principles including Medicaid and Medicare regulation.
Extensive experience with the System Design Life Cycle (SDLC).
Experience with EDI X12 structure and syntax rules; chiefly with 834 files.
Superior root cause analysis skills, including corrective action planning and ability to provide documentation to support analysis.
Benefits
Comprehensive benefits (including health insurance benefits)
Company
Evolent
Evolent partners with health plans and providers to achieve better outcomes for people with complex health conditions.
1001-5000 employees
H1B Sponsorship
Evolent has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (11)
2022 (18)
2021 (22)
2020 (21)
Funding
Current Stage
Public CompanyTotal Funding
$1.03BKey Investors
TPG Growth
2023-12-05Post Ipo Debt· $350M
2022-08-11Post Ipo Equity· $125M
2021-10-15Post Ipo Equity· $42.5M
Leadership Team
Frank Williams
Co-Founder and Director, Board of Directors
Sarah Alexander
Market President
Recent News
2024-10-29
2024-10-11
Company data provided by crunchbase
