Remote Business analysis Jobs • US

Serve as the technical lead for several high-profile programs, including support for the TennCare Kids Program, Department of Children’s Services (DCS), member incentive program, and Primary Care Provider (PCP) reporting. With regulatory deliverables and contract compliance, play a critical role in ensuring requirements, especially as the subject matter expert for TennCare Kids. This position offers the opportunity for collaboration with various departments.

This Business Analyst (BA) III will serve as the internal consultant for the Managed Care Operations team, providing analysis, reporting, and operational support across a variety of functions, including credentialing, contracting, claims, provider relations, quality/risk, care coordination, utilization management, and business development.

Focusing on achieving optimal performance of service capabilities, including supporting existing systems functionality and new development initiatives to expand on opportunities. They are responsible for working with agile teams and the Product Owners to define and document acceptance criteria. The Business Analyst will ensure the solutions delivered are of high quality.

Play a critical role in shaping organizational strategy through advanced analytics, data-driven decision-making, and cross-functional project execution. Requires a strong background in workplace management, operations, and organizational optimization, and will help deliver impactful insights and drive initiatives that improve workplace performance, culture, and efficiency.

Provides analytical support in the conceptualization, development, and implementation of complex system projects, utilizing system information and knowledge of all parameters. Acts as a subject matter expert for applications, working with business units to enhance processes with automation. Contributes to functionality and process design for systems by creating functional specifications and supporting documentation, detailing all process flows and functional operations. Participates in pilot preparation and testing.

This position gathers, integrates, and interprets data uncovering opportunity gaps to enhance business performance. You will learn about assigned categories, including knowledge of products, industry trends, innovation, and competitive landscape within clinical or non-clinical supply chain for healthcare. You will be responsible for data analysis and reporting, educating cross-functional teams on category trends and opportunities.

This role blends strategic advisory with hands-on operational execution, providing critical insights and reporting to optimize sales performance across Enterprise and Midmarket segments in AMER. You'll ensure alignment, efficiency, and success within our rapidly scaling sales organization.

Lead a team responsible for optimizing fundraising infrastructure, data integrity, compliance, and reporting, while overseeing database management, gift processing, donor analytics, and financial reconciliation. Ensure seamless coordination across Development, Finance, and Technology teams, while adhering to fundraising compliance regulations, donor privacy laws, and financial reporting standards.

Join our dynamic and dedicated team as a Fraud Analyst at CertifID. This person will be the primary contact for fraud risk investigations and escalations, and have a passion for safeguarding our business and customers. You will have a background in Anti-Money-Laundering (AML)/ Know Your Customer (KYC) and/or Fraud mitigation strategies, analyzing transactional data, and collaborating closely with cross-functional teams to mitigate risks.

As a Benefits Configuration Analyst, you will support cross-functional teams during implementations and build and manage pharmacy benefit plans on various platforms to ensure a high quality SmithRx product. This role will also be responsible for supporting the Plan Operations team with core benefits operations functions while building and maintaining accurate benefit configuration.