Job Description
The Senior Business Analyst, Government Programs Operations provides support gathering and documenting business and reporting requirements that align with state and federal guidelines. This individual will analyze complex problems and issues using available information from both internal and external sources. Responsibilities include creating specifications documents for business processes, reports, data extracts, and analyses, and identifying trends in datasets to drive process improvements. The role involves collaborating with cross-functional teams to design, refine, automate, and maintain operational capabilities. This position monitors changes in business processes, finds new opportunities for improvements, manages requests from stakeholders, and proactively reviews data to develop subject matter expertise. The analyst will drive root-cause-analysis, support analytical functions, analyze business workflow for conversions and migrations, prepare documentation, and support encounter and PDE submission processes. Performance metrics development and root cause analysis of claims/encounters processing issues are also key.
About Capital Rx
Capital Rx is a health technology company providing claim administration and technology solutions for carriers, health plans, TPAs, employer groups, and government entities.