Required Skills

Business Analyst

Work Authorization

  • Us Citizen

  • Green Card

  • EAD (OPT/CPT/GC/H4)

  • H1B Work Permit

Preferred Employment

  • Corp-Corp

Employment Type

  • Consulting/Contract

education qualification

  • UG :- - Not Required

  • PG :- - Not Required

Other Information

  • No of position :- ( 1 )

  • Post :- 5th Nov 2021

JOB DETAIL

Skills and Responsibilities:

The Business Analyst (BA) for IT Member Communications communicates with members by providing a seamless and effective system for managing the overall content and delivery of member correspondence materials (including letters, invoices, and eNotes) while reducing cost, improving efficiency and enhancing the member experience. Reporting on monthly data, performance, CMMI, audit prep when needed, main point of contact for other escalation and Operations communication. The BA will also cover for Operations leadership in their absence. The Business Analyst will be the communication conduit with the client engagement team.

 

ESSENTIAL JOB FUNCTIONS/DUTIES

Manage Correspondence Production

Reconciling correspondence between HPS and print vendor(s)

Reconciling & managing vendor invoicing

Monitoring & reporting carrier and vendor SLAs

Managing inventory levels of fulfillment materials

Communicating outliers to Executive Leadership and/or affected dept.

Acting as the IT liaison for correspondence production issues

Managing production schedules

Provide reporting to the carrier, executive leadership and/ or impacted departments

Communication Engine

CASS/NCOA Reporting

 

Mange Correspondence Content

Managing the creation of new member correspondence and content change requests

Initiating correspondence error correction

Investigating compliance violations

Maintaining a document repository for all carriers and lines of business

Submitting business requirements to IT for new variable data

Performing audits of printed materials at vendor facilities

Drive all member correspondence IMS tickets to resolution

Yearly Member Renewals

New Carrier Onboarding and Decommissioning

Validating XML and Schemas

 

QUALIFICATION REQUIREMENTS

Minimum supervision required.

Multitask

Sets and adheres to timelines.

Ability to make decisions on multiple accounts on behalf of the insurance carrier.

Above average written communication skills – ability to write effectively and extract information from written materials.

Above average verbal communication skills – ability present information orally

Above average numeric skills including ability to reconcile statements and discrepancies.

Strong knowledge of Excel

Knowledge of Microsoft Office including Outlook, Word, Visio, and PowerPoint

Adobe In-Design a Plus

 

EDUCATION REQUIREMENTS

AA Degree-Preferred

2 years analytical experience, preferably in a Healthcare environment

 

LICENSING/CERTIFICATION REQUIREMENTS

N/A

 

PHYSICAL REQUIREMENTS

Minimal physical exertion.

May be subject to interruptions.

Company Information