Senior Business Analyst – Healthcare Claims & Enrollment

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and upward!!!

JOB SUMMARY: The incumbent is an empowered team member and leader, knowledgeable in the business, who deploys best practices to facilitate the elicitation, organization and documentation of business requirements, working with members of assigned MultiPlan business units. Incumbent must ensure that the project team develops solutions that meet the customer's real needs; minimizes requirement defects up front, establish and maintain agreement between the customer and project team on requirements for the project deliverables on projects that are complex and not always clearly defined.

Job Roles And Responsibilities

• Actively solicit, analyze and negotiate customer requirements in order to ensure that the project team can develop solutions that meet the customer's real needs; minimize requirement defects up front, establish and maintain agreement between the customer and project team on requirements for the project deliverables.
• Manage multiple priorities, customer expectations and relationships with all stakeholders. Manage relationships with customers, project managers, and any/all levels of management.
• Meet and work with project business sponsors, software end-users, applications development staff, and others as necessary to perform assignments. Conduct meetings with business stakeholders to actively solicit, analyze and negotiate customer requirements. Obtain signoff on business requirements.
• Solicit input from developers and other technical staff to determine level of effort required to complete tasks and from business community to define scope.
• Assist with project planning, including methods, processes, tasks, schedules.
• Work with applications development staff during the technical design, programming and unit-testing and implementation stages. Conduct walkthroughs as handoff from analysis to development in life cycle.
• Coordinate changes to functional specifications that occur during development and updates functional specifications as required.
• Support customer in training efforts for end users and staff members.
• Mentor junior staff members.
• Collaborate, coordinate, and communicate across disciplines and departments.
• Ensure compliance with HIPAA regulations and requirements.
• Demonstrate commitment to the Company's core values.
• The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
• Please note due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role.
  
  

Job Scope

Incumbent works under minimal direction and uses independent judgment to identify issues, trends & problems and recommend action plans and evaluate results on projects that may not be clearly defined and are large in scope. Work is varied and complex, requiring the individual to use a broad range of knowledge gained through extensive experience. The position works with internal and external sources to complete objectives, keeping the needs of external and internal customers as a priority when making decision and taking action.

Compensation

The salary range for this position is 95k-115k. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

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JOB REQUIREMENTS (Education, Experience, And Training)

• Minimum Bachelors degree, or 4 years of related experience. Graduate degree a plus.
• Minimum 7 years experience as a Business Analyst
• Experience in a Project Management Organization preferred
• Experience designing and implementing project management methodologies and requirements definition and management practices
• International Institute of Business Analysis (IIBA)/Certified Business Analysis Professional (CBAP) preferred
• Required licensures, professional certifications, and/or Board certifications as applicable
• Knowledge of Healthcare industry and understanding all major workflows associated with healthcare claim processing
• Knowledge of broad range project methodologies and best practices for requirements definition and management including Waterfall, Iterative, and Agile
• Expert-level business analysis, system analysis and project management skills
• Excellent verbal and written communication skills
• Analytic, organization, interpersonal, prioritization, multi-tasking, initiating, communication, planning and technical skills
• Ability to lead, develop, mentor and coach team
• Ability to use software and peripherals related to performance of job responsibilities
• Ability to facilitate teams and client relationships to satisfy needs and identify improvements
• Ability to develop strong relationships with all levels of management
• Ability to demonstrate commitment to excellent customer service and follow through
• Ability to manage multiple simultaneous projects including continuous evaluation and re-ordering of priorities for self and staff as business needs dictate
• Ability to effectively present information and respond to questions from internal and external customers
• Ability to be flexible and creative in problem solving and identifying process improvements
• Ability to anticipate business needs and think with a business owner mind-set
• Ability to recognize and apply project management, business analysis and system analysis best practices to fit a variety of situations
  
  

Benefits

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your Benefits Will Include

• Medical, dental and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) match
• Employee Stock Purchase Plan
• Generous Paid Time Off - accrued based on years of service
• WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
• 10 paid company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
  

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.

APPLICATION DEADLINE

We will generally accept applications for at least 15 calendar days from the posting date or as long as the job remains posted.