Job#: 3047804 Job Description: Apex Systems is hiring a Business Technical Analyst for a large Healthcare client.Location: Fully remote anywhere in the US.
*YOU MUST BE AUTHORIZED TO WORK IN THE UNITED STATES WITHOUT SPONSORSHIP*
Role Overview
We are seeking a Business Technical Analyst. This role focuses on reporting, data analysis, and submitting claim records to ensure compliance. The position involves working with various teams to gather, ensure accuracy, and submit data across multiple platforms in a timely manner, with a strong emphasis on maintaining compliance standards when submitting information to CMS.
Key Responsibilities
- Submit risk adjustment and claim records to CMS on a bi-weekly basis.
- Conduct ad-hoc data analysis and reporting.
- Collaborate with compliance teams to ensure all data submissions meet regulatory standards.
- Gather and validate data for accuracy and completeness across multiple platforms.
- Work with employees from various companies to submit information compliantly and on schedule.
- Develop system design documents and project plans with achievable milestones.
- Mediate between different department demands to gain approval on system scope and design.
Required Qualifications
Education: A Bachelor's Degree in a related field is required.
Experience:- 5+ years of experience in conducting ad-hoc requests.
- Work experience in technical data analysis, conducting system analysis meetings, and developing system design documents.
- 4+ years of experience in relevant programming, including SAS, SQL, VB.NET, or Oracle.
- 3+ years of experience in related business analysis.
Technical Skills:- 5+ years of experience with SAS and SQL, including reading and writing programs.
- Demonstrated analytical skillset.
Preferred Qualifications
- 1+ year of experience in the Healthcare industry.
- 1+ year of experience in ASP/ASP.NET.
- Experience with claims data or previous work within another healthcare company.
Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.
Everforth Apex uses a virtual recruiter as part of the application process. Click for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at
Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Everforth Apex team member can provide.
Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at or . Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.
UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.
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