Business Analyst (Healthcare Payer)

Hybrid in Louisville, KY, US β€’ Posted 1 day ago β€’ Updated 1 day ago
Contract W2
Contract Corp To Corp
2 Years
No Travel Required
Hybrid
Depends on Experience
Fitment

Dice Job Match Scoreβ„’

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Job Details

Skills

  • Business Analyst

Summary

Hi,

Our client is looking for a Business Analyst (Healthcare Payer) in Louisville, Kentucky, below is the detailed requirement.

Job Title: Business Analyst (Healthcare Payer)

Location: Louisville, Kentucky

Job Description:

  • Bachelor's degree in Business Administration, Healthcare Administration, Information Systems, or a related field.
  • Strong experience in healthcare payer operations and business analysis.
  • Deep understanding of healthcare payer functions, including:
  • Enrollment and Eligibility
  • Claims Processing and Adjudication
  • Provider Network and Contract Management
  • Utilization Management
  • Care Management
  • Customer Service Operations
  • Payment Integrity
  • Appeals and Grievances
  • Experience gathering and documenting business and functional requirements.
  • Strong analytical, communication, facilitation, and stakeholder management skills.
  • Experience working in Agile and Waterfall delivery environments.

Preferred Qualifications

  • Experience with Medicare, Medicaid, Commercial, and Dual-Eligible healthcare programs.
  • Knowledge of healthcare standards such as FHIR, HL7, EDI X12, HEDIS, STAR Ratings, and CMS regulations.
  • Experience supporting payer modernization, digital transformation, data management, analytics, or AI-enabled initiatives.
Employers have access to artificial intelligence language tools (β€œAI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10120137
  • Position Id: 71582-10367-1789754008
  • Posted 1 day ago
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