Navitus Health Solutions · 5 hours ago

Business Analyst, Government Programs, Med-D

United States

Full-time

Remote

Mid Level

$66K/yr - $79K/yr

3+ years exp

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Responsibilities

Identifies and manages changes to existing Technical Operations processes; this includes scope definition, business requirements, user acceptance testing, and implementation

Establishes processes that are scalable and efficient, and ensures smooth transition to operational maintenance by the Technical Operations Analysts

Develops project plans to ensure the quality and timeliness of project deliverables

Ensures technical processes supporting government programs have the appropriate controls, oversight, and reporting, and are compliant with regulatory requirements from end to end

Identifies key metrics to monitor the compliance and accuracy of the process, establishing oversight methods that are operationally efficient and effective

Provides SME assistance when process metrics indicate a possible risk to compliance or accuracy, and leads any corrective action required following root cause analysis

Reviews regulatory guidance, and identifies changes needed to existing Technical Operations processes and/or new processes which need to be established to remain compliant

Performs data analysis using SQL or business intelligence software

Develops a solid working knowledge of Navitus’ claims processing system

Other duties as assigned

Qualification

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Business AnalysisRequirements WritingProcess ImprovementData AnalysisTestingSQLMicrosoft ExcelQlikViewCompliance Program SupportClaims Processing System Knowledge

Required

Bachelor’s degree in business-related field, or equivalent combination of education and experience

Participate in, adhere to, and support compliance program objectives

The ability to consistently interact cooperatively and respectfully with other employees

Preferred

3+ years’ Analyst experience with writing requirements, developing solutions, implementing process improvements, and conducting testing in a business environment preferred