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City/State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health Plan is hiring for a Senior Business Analyst - Operations.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

This is a Full-Time position, fully remote, with day shift hours and great benefits!

Work Location: Remote opportunities available in the following states - Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

For applicants within Maryland, Nevada, Ohio and Washington States, the following hiring range will be applied: $74,933.04 - $112,410.48 with a target hiring range of $74,933.04 - $89,849.76 .

Job Responsibilities

This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment.

Job Requirements:

  • Required to have 3+ years of relevant experience
  • Required to have experience working with Reports, Applications/Screens)
  • Required to be highly proficient in MS Excel
  • Required to be proficient in SQL
  • Required to have experience in processing Claims
  • Required to have experience in system administration

Preferred Requirements

  • Preferred to have - Bachelor's Level Degree

Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.

For information about our employee benefits, please visit: Benefits – Sentara (sentaracareers.com)

Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-53265

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Talroo–IT

Indeed

Monster

Talroo

Talroo–Health Plan

Keywords: Business Analyst, Operations, Excel, SQL, Data Analysis, Tableau, Claims, QNXT, CSC, System administration, member enrollment, enrollment, reporting, remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

Job Summary

This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment.

Related experience will be in one of the following areas, operations, IT, or reporting.

Bachelor's Level Degree preferred.

Qualifications:

BLD - Bachelor's Level Degree

Related

Skills

Communication, Complex Problem Solving, Critical Thinking, Judgment and Decision Making, Microsoft Excel, Operations Analysis, Systems Analysis

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

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Confirmed 19 hours ago. Posted 8 days ago.

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