We are offering a contract to hire employment opportunity for a Senior Business Analyst in the Healthcare, Hospitals, and Social Assistance industry. The Senior Business Analyst is based in Oxnard, California and will function in a hybrid working environment. The Senior Business Analyst will be involved in various aspects of business analysis, working closely with client providers and management company staff.
Responsibilities:
Monitors the daily operations of the department including all workflows turnaround times production levels and staffing needs within budgetary and business planning guidelines.
Compiles and analyzes monthly enrollment data to provide accurate enrollment schedules to various departments including Financial Analysis Accounting Provider Contracting etc.
Prepare analyze and monitor eligibility reconciliations to ensure that all exceptions and rejected data have been researched and updated.
Assist and ensure that programming changes are requested justified and implemented properly for the business unit's eligibility manager software.
Calculates and prepares client provider capitated payments monthly in line with contract timelines and requirements.
Effectively and professionally communicate results challenges and solutions through daily interaction and regular reports with management.
Create and monitor standard reports to identify anomalies and/or trends impeding appropriate revenue capture.
• Proven experience in a Business Analyst role within the Healthcare, Hospital, or Social Assistance industry