Business Analyst - Remote

Daily Responsibilities:  

• Support cross-functional work streams and teams to build and manage programs and projects that directly support HEDIS data quality improvement and reporting 

• Conduct claims data and systems analysis and claims-related business analysis 

• Ensure HEDIS data integrity and process optimization 

• Partner with various lines of business, stakeholders and SMEs to determine impact and solutions 

• Re-mediate gaps in existing production processes that can impact regulatory requirements 

• Conduct research, complete data mining, and other necessary tasks to identify and validate business and HEDIS reporting requirements 

• Perform testing and piloting of new HEDIS reporting processes, solutions and technology 

• Perform root cause analysis of HEDIS data and provide recommendations and/or solutions 

• Document and communicate detailed process documentation to describe processes & reason for changes (to include but not limited to: process mapping, P&Ps, SOPs, and BRDs). 

• Utilize and analyze claims and investigate data to ensure HEDIS data and processes are appropriately followed, managed and reported 

Hours:

• Monday-Friday daytime hours

Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience

• Benefits offered, Medical, Dental, and Vision

• Fun and positive work environment