Acentra Health · 4 weeks ago
Business Analyst (Claims), Mid
United States
Full-time
Remote
Mid Level
$89K/yr - $112K/yr
3+ years expAcentra Health exists to empower better health outcomes through technology, services, and clinical expertise. They are looking for a Mid Business Analyst to assist in analyzing business problems, identifying gaps, and providing business support related to information systems and State program activities.
Health Care
Responsibilities
Functions as an individual contributor and works under moderate supervision with clearly defined guidelines and direction
Works with customers on presenting technical solutions for complex business functionalities
Possesses unwavering commitment to customer service and operational excellence
Provides customer support through leading customer demos and presentations
Prioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phases
Creates and modifies Business Process Models
Understands the overall system architecture and cross-functional integration
Demonstrates in-depth knowledge of business analysis relates to claim adjudication, Medicare guidelines and reimbursement methodologies
Demonstrates advanced expertise and contributes to the Business Analysis practice by publishing technology points of view through the creation of white papers
Possesses in-depth knowledge and is well-versed in multiple functions or capabilities
Uses cases, workflow diagrams, and gap analysis to create and modify requirements documents and design specifications
Analyzes user requirements and customer business needs, leveraging expert opinion and expertise
Acts as the requirements subject matter expert and supports requirements change management
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules
Qualification
Required
Bachelor's' Or Masters degree with 3+ years of business analysis experience
Minimum 3 years of experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals
Strong knowledge in Medicare policies and guidelines
Strong knowledge in claims adjudication and validations
Strong knowledge in Medicare Reimbursement methodologies
Strong Business Analysis Process (SDLC, documentation procedures) experience
Excellent customer relation skills including presentation and meeting facilitation
Experience facilitating and running customer facing requirements and design sessions
Excellent requirements elicitation and validation skills
Preferred
Strong knowledge and proficiency in SQL
Strong technical and database knowledge
Knowledge of data integration and software enhancements/planning
Knowledge in additional claims processing sub-systems like provider, and eligibility
Benefits
Comprehensive health plans
Paid time off
Retirement savings
Corporate wellness
Educational assistance
Corporate discounts
And more
Company
Acentra Health
Acentra Health is a provider of clinical services and technological solutions to government healthcare organizations.
1001-5000 employees
H1B Sponsorship
Acentra Health 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
2025 (49)
2024 (49)
2023 (16)
Funding
Current Stage
Late StageTotal Funding
unknown2022-11-09Acquired
Leadership Team
Todd Stottlemyer
Chief Executive Officer
Grant Christie
Senior Vice President, Market Strategy and Solutions
Recent News
2026-01-13
Company data provided by crunchbase