Business Analyst - Claims

Long Beach, CA

Posted: 06/25/2019 Category: Other Area(s) Job Number: 29107

Claims Analyst – Long Beach, California

$45-64K

 

Job Summary
Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused.

Knowledge/Skills/Abilities
  • Provides analytical, problem solving foundation including: definition and documentation, specifications.
  • Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements.
  • Reviews, researches, analyzes and evaluates all data relating to specific area of expertise. Begins process of becoming subject matter expert.
  • Conducts analysis and uses analytical skills to identify root cause and assist with problem management as it relates to state requirements.
  • Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery and cost savings regulations are met
  • Prepares high level user documentation and training materials as needed.

 

Required Experience
  • 1-3 years in healthcare claims data analysis
  • Previous experience working for a health plan, strongly preferred
  • Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas.
  • Experience with reporting tools like Excel, Access, and SQL
 
Claims Analyst – Long Beach, California

$45-64K
  For more information on this position, please contact our office at 877-782-3334, Pamela X253
 

 
 

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