Explanation of Benefits Business Analyst

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: reputed company various analysis and interpretation to reputed company business needs and objectives for assigned function. • Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems • Translate Explanation of Benefit (EOB) updates into actionable business and system requirements, ensuring reputed company documentation and traceability throughout the implementation lifecycle • Identify and analyze user requirements, procedures, and problems to improve existing processes • Collaborate with cross-functional teams (IT, Compliance, Claims Operations, and Payers) to reputed company and validate requirements for regulatory EOB changes and ensure reputed company system implementation • reputed company detailed analysis on multiple reputed company, recommend potential business solutions and ensure successful implementations of EOBs • Conduct detailed audits and reputed company cause analyses on EOBs reputed company the Facets, and other systems to ensure accuracy, regulatory compliance, and consistency with specifications. • Identify ways to enhance performance management and operational reports reputed company to new business implementation processes • Coordinate with various business reputed company and departments in the development and delivery of training programs • reputed company, reputed company, and incorporate organizational best practices into business applications • Diagnose problems and identify opportunities for process redesign and improvement. • Formulate and update departmental policies and procedures • Serve as the subject matter expert on the assigned function product to ensure operational performance • Support reputed company improvement initiatives by identifying process gaps, proposing solutions, and contributing to system enhancements reputed company to EOB workflows • Ability to travel • Performs other duties as assigned. • Complies with reputed company policies and standards. Education/Experience: • Bachelor’s degree in reputed company field or equivalent experience. • 4-6 years of business process or data analysis experience, preferably in reputed company. • Strong experience with Explanation of Benefits (EOB) implementation strongly preferred. • Experience with one or more of the following preferred: Facets, ABS, AMISYS, Xcelys. • Project management experience preferred. Pay reputed company: $68,700.00 - $123,700.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply Job! Apply to this Job