Mindlance

ProfessionalServices - Exception Template- (Business Analyst II - 110013)


PayCompetitive
LocationOjai/California
Employment typeFull-Time

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  • Job Description

      Req#: 25-77157

      NON IT Business Analyst II - 110013

      Position Purpose:
      Perform various analysis and interpretation to link business needs and objectives for assigned function.



      Education/Experience:
      Bachelor’s degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred.

      Benefits and Payment Configuration
      Compliance Coding/Prepay Compliance (Payment Integrity)
      Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred.

      Encounters:
      Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 1+ years of managed care encounters experience. Knowledge of claims and/or encounter processing and data analysis experience preferred. Understanding of HIPAA transactions (i.e. 837, 999, 824, 277) preferred. Knowledge of managed care information systems and experience in SQL scripting preferred.

      Provider Data:
      Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis (documenting business process, gathering requirements) experience in healthcare industry and/or working in a data driven environment. Knowledge of data migration, software enhancement/planning, and Agile preferred.

      Member & Provider Solutions
      Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred.

      EEO:

      “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”

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      Typical Day in the Role
      • Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD).
      • What are performance expectations/metrics?
      • What makes this role unique?
      Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):
      • Invoice reconciliation
      • Data analysis
      • Vendor interaction
      Describe the performance expectations/metrics for this individual and their team:
      • My area has KPIs based on invoices and types of deliverables
      Tell me about what their first day looks like:
      • Team introductions
      • Centene University Training
      What previous job titles or background work will in this role?
      • Business Analyst
      • Finance Analyst
      • Reporting Analyst
      Any future projected positions potentially coming up? Choose an item. If yes, note:
      Candidate Requirements
      Education/Certification Required: Bachelor’s degree or 5+ years experience Preferred:
      Licensure Required: Preferred:
      Years of experience required: 5+

      Disqualifiers: Excel, Data Analysis, Finance/Cost Accounting

      Additional qualities to look for: Self-Starter, Attention to detail
      • Top 3 must-have hard skills stack-ranked by importance
      1 Excel
      2 Data Analytics
      3 Power Query/Power BI

  • About the company

      Mindlance is one of the largest diversity-owned staffing firms in the US . As a recruitment centric talent acquisition company, Mindlance provides Technology, Engineering, Digital / Creative / Marketing, Clinical Research, Scientific, Finance, Professional and Payroll Management staffing services to Global 1000 companies across the US, Canada and India.

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