SR BUSINESS SYSTEM ANALYST-OPT

City/State

Richmond, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Healthcare is seeking an experienced professional to join our team as a Senior Business System Analyst !

* This position is 100% remote but candidates must have a current residence in one of the follow states or being willing to relocate:

AL ,DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NH, ND, NV, OK, OH,PA, SC, NC, SD, TN, TX, WA, VA,WA, WV, WI

Minimum Requirements:

Bachelor's level degree

3 plus years of experience with SQL data analysis (Ability to write SQL Queries)

Claims Adjudication Life Cycle experience

Claims Configuration triage support experience

3 plus years of experience with QNXT Claims Configuration or any other claims application configuration experience

Health Care Government Program experience.

Knowledge & understanding of Member Enrollment, Provider Contracts, Benefits and Authorization and Claims workflow

Job Summary:

The Sr. Business Systems Analyst perform activities that provide business solutions to complex organizational initiatives and should demonstrate an extensive expertise in the claim's platform and all interfacing applications, both customized and packaged. This individual should possess a high degree of expertise in the business requirements that support reimbursement policies and methodologies of the organization, as well as perform complex data analysis and draw business conclusions for decision making. The analyst will coordinate the maintenance of assigned Claims Department systems for the program and play a key role in the configuration and implementation of new markets and products. The analyst should consider interdepartmental impact when recommending and implementing solutions. Responsibilities include but are not limited to claim analysis, root cause analysis, interpretation of configuration requirements, coordinating configuration, ad- hoc reporting and documentation. In addition, the Sr. Business Systems Analyst will be responsible for managing configuration projects, coaching junior analysts and for preparing metric performance reports for the department. He or she will work with peers in the department to establish realistic project scope, project plans and timelines.

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 information about our employee benefits, please visit: Benefits - Sentara (sentaracareers.com)

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

Note: Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

For applicants within Washington State, the following hiring range will be applied: $ 71,394 - $118,219

Job Summary

This position is responsible for support, enhancement and implementation of software applications used within the Sentara Healthcare organization. Incumbent will identify opportunities to leverage technologies in areas that improve and enhance the business practices by designing and implementing application/product enhancements. Works with and is a liaison to customers and end-users, appropriate IT personnel and software vendors on a regular basis to align technology functionality to operational processes.

2 years experience in business unit/department being supported.

Qualifications:

BLD - Bachelor's Level Degree (Required)

Information Technology

Skills

Communication, Complex Problem Solving, Operations Analysis, Project Management

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.