Remote Business analysis Jobs • Healthcare

The Business Analyst will conduct detailed analytical studies to define problems, identify deficiencies and improve solutions which impact the enterprise’s effectiveness, and provide the basis for issue resolution. They collaborate with users to define business requirements for system enhancements and new functionalities to achieve process improvements and revenue savings through automation and Robotic Process Automation (RPA).

The SIU Analyst position is responsible for conducting research using internal and external databases to perform analyses and develop recommendations on suspected fraud, waste, and abuse related to members, prescribers, pharmacies, and clients. The Analyst extracts and evaluates mined data and processes/assesses data produced by vendors, health plans, and third parties for analysis and comparison with Navitus claims.

The Revenue Cycle (RC) & Financial Verification (FV) Quality Analyst is responsible for improving operations by monitoring key performance indicators (KPI)s and providing the information gathered for employee feedback and interventions across all functions within the Clinical Health Network for Transformation (CHN). The RC & FV Quality Analyst is responsible for reviewing patient charts in both Epic and NextGen electronic health records (EHR) systems to ensure the accuracy and completeness of both the financial verification and revenue cycle processes.