Back to Jobs

Sr Business Analyst, Provider Claims (Remote)

Remote, USA Full-time Posted 2025-11-24
About the position Responsibilities • Elicit requirements using interviews, document analysis, and requirements workshops, business process descriptions, use cases, business analysis, task and workflow analysis. • Interpret customer business needs and translate them into application and operational requirements. • Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as needed. • Work with operational leaders within the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements. • Create Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations. • Actively participates in all stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and operational requirements. Requirements • Bachelor's Degree or equivalent combination of education and experience. • 5-7 years of business analysis experience. • 6+ years managed care experience. • Demonstrates proficiency in a variety of concepts, practices, and procedures applicable to job-related subject areas. • Ability to manage escalations independently. • Proactive communicator. • Detail-oriented and adaptable. • Strong organizational and time management skills. Nice-to-haves • 3-5 years of formal training in Project Management. • Experience working with complex, often highly technical teams. • Strong claims investigation experience within managed care. • Background working with providers and internal ops teams. • Familiarity with Salesforce, Facets, and Excel-based reporting. • Managed care or claims research experience. • Strong analytical and documentation skills. Benefits • Competitive benefits and compensation package. Apply tot his job Apply To this Job

Similar Jobs

Online Typing Jobs - Part-Time or Full-Time

Remote, USA Full-time

Global Marketing Director

Remote, USA Full-time

Paid Media Manager, B2B Demand Gen

Remote, USA Full-time

Performance Marketing Director (Remote)

Remote, USA Full-time

Care Specialist - Aetna CT

Remote, USA Full-time

Customer Service Representative

Remote, USA Full-time

Remote Admin Support - Data Entry Role

Remote, USA Full-time

Virtual Patient Safety Observer- Patient Care- FT Nights

Remote, USA Full-time

Spanish Language Instructor - Omaha, NE

Remote, USA Full-time

Remote Part Time Spanish Teacher

Remote, USA Full-time

Experienced IT Support Engineer I – Operations Technology Solutions Specialist for Global E-Commerce Leader

Remote, USA Full-time

Director, People Ops – USA Remote Jobs

Remote, USA Full-time

Work from home Live Chat Agent

Remote, USA Full-time

Experienced Industrial and Process Engineer I - V - Automation, Systems, Facilities, and Material Handling Expert

Remote, USA Full-time

Experienced International Tele Marketing Executive – Global Recruitment Services and Business Development

Remote, USA Full-time

Correspondence Representative

Remote, USA Full-time

Experienced IT Operations Service Insight Intern – Remote Opportunity for Innovative and Driven Individuals to Shape the Future of Defense Technology

Remote, USA Full-time

Join the United States Postal Service Team: Mail Services Assistant

Remote, USA Full-time

CNA (Nursing Aide) - Full Green Card Sponsorship

Remote, USA Full-time

Experienced HR Benefits Intern - Remote Work Opportunity in Dynamic and Growing Company

Remote, USA Full-time