Business Analyst - Operations (Remote in VA & NC)

City/State

Norfolk, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health is currently seeking a full-time remote Business Analyst - Operationsfor Sentara Health Plans.

Remote opportunities available in the following states: Virginia and North Carolina

Hours of operations: Monday - Friday, 8am - 5pm (EST)

Job Description Summary

The Fee Team is responsible for managing all the fee updates, reimbursements, rate enhancements and contract updates. The Business Analyst role is a critical need for our team. The Business Analyst role plays an intricate part in supporting the Senior Business Analyst as well as a reliable backup for the rest of the fees/configuration team. This role serves as a reliable bridge between management, IT, and the end users.

Responsibilities include but are not limited to:

• DMAS annual updates (BH & Commercial)
• Maintaining the pricing environments 3M, nThrive , NetworX and Modeler
• Analyzing and evaluating fees to ensure accuracy and compliance with regulations
• Maintaining the fee structures in both systems (CSC and QNXT)
• Maintaining the contracts in both systems (CSC and QNXT)
• Project implementation (testing, research, thorough analysis, payment methodologies, recommending reimbursement process)

Required Education:

Bachelor's degree preferred

Job Requirements:

Required: Related experience - 1 year

Preferred: QNXT experience

Preferred: SQL experience

Sentara Benefits:

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, https://www.sentaracareers.com/explore-sentara/benefits/

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

Job Summary

Designs, produces and analyzes customer operations data. Creates and maintains reports for business operations and special projects as it pertains to operational processes. Utilizes knowledge of numerous applications, databases, information systems, statistical tools and analytical principles to monitor and analyze information in support of the business. Assists in the implementation, maintenance and improvement of information systems.

Related experience will be in one of the following areas, operations, IT, or reporting.

Qualifications:

BLD - Bachelor's Level Degree

Related

Skills

Communication, Complex Problem Solving, Microsoft Excel, Systems Analysis

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.