Health Insurance Business Analyst ( Financial Managemen

  • Deloitte,
  • New Carrollton, MD
  • 4 hours ago
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Deloitte
Business Analyst, Management, SDLC, EDI, Exchange, Software, Development, Recruiter
Full Time

Job Description

Healthcare Insurance Business Analyst (FinancialManagement)

Work you'll do

Provide functional expertise for Financial Management and Affordable Care Act (ACA) financial management policy related business rules.

Lead/Support SDLC activities for maintenance and enhancement of financial management functionality including reconciliation of enrollment and claims data with health exchanges and health plans, supporting EDI transactions, and supporting financial functions such as risk adjustment, enrollment aggregation, payment aggregation etc

Troubleshoot system issues, analyze data and identify resolution steps as required

Collaborates effectively in a multi team environment, coordinate with multiple 3 rd party systems and health plans, manage client expectations and prioritize activities for the teams

Liaison with business and technical teams for impact analysis, design changes and implementation of changes

Liaison with client counterparts for day to day activities

The team

Our Health Technology team implements repeatable solutions to solve our government clients' most critical health technology related issues. We advise on, design, implement and deploy solutions focused on government health agencies "heart of the business" issues including claims management, electronic health records, health information exchanges, health analytics and health case management.

Our clients seek a fresh perspective on how to leverage reusable, interoperable and flexible solutions that will enable them to reduce costs, improve health outcomes and respond to public health crises. Professionals will use their deep health, government and technology consulting experience to strategically help solve our client's technology challenges.

Qualifications

Required:

3+ years of experience

Bachelor's degree

Healthcare Insurance/ Health exchange ( State/ Federal) experience

Desired:

Deep understanding of financial management functionality including reconciliation of enrollment and claims data from health exchanges and health plans, supporting EDI transactions and financial functions such as risk adjustment, enrollment aggregation, payment aggregation

Understanding of supporting modules such as eligibility, enrollment etc

Experience in working with health plans

Proficient in software development lifecycle methodologies ( Waterfall, Agile, Hybrid)

Strong analytical skills with demonstrated track record of solving complex systems integration problems

Health Insurance Exchange

Affordable Care Act

Agile Software Development Methodology

Software Development Life Cycle

Health plan Enrollment and Eligibility

Limited immigration sponsorship may be available.

How you'll grow

At Deloitte, our professional development plan focuses on helping people at every level of their career to identify and use their strengths to do their best work every day. From entry-level employees to senior leaders, we believe there's always room to learn. We offer opportunities to help sharpen skills in addition to hands-on experience in the global, fast-changing business world. From on-the-job learning experiences to formal development programs at Deloitte University, our professionals have a variety of opportunities to continue to grow throughout their career. Explore Deloitte University, The Leadership Center.

Benefits

At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you.

Deloitte's culture

Our positive and supportive culture encourages our people to do their best work every day. We celebrate individuals by recognizing their uniqueness and offering them the flexibility to make daily choices that can help them to be healthy, centered, confident, and aware. We offer well-being programs and are continuously looking for new ways to maintain a culture where our people excel and lead healthy, happy lives. Learn more about Life at Deloitte.

Corporate citizenship

Deloitte is led by a purpose: to make an impact that matters. This purpose defines who we are and extends to relationships with our clients, our people and our communities. We believe that business has the power to inspire and transform. We focus on education, giving, skill-based volunteerism, and leadership to help drive positive social impact in our communities. Learn more about Deloitte's impact on the world.

Recruiter tips

We want job seekers exploring opportunities at Deloitte to feel prepared and confident. To help you with your interview, we suggest that you do your research: know some background about the organization and the business area you're applying to. Check out recruiting tips from Deloitte professionals.


Company Information

Dice Id : 10106525
Position Id : E21NCTCCONVD001-CBO
Originally Posted : 2 weeks ago

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