JobsBusiness & Financial AnalystDallasBusiness Analyst I
CERIS
Posted 2 days ago
Business Analyst I
CERIS · Fort Worth, Texas, United States
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In short
Analyze claims and care management systems, collaborate with business stakeholders and technical teams, and identify enhancements, automation opportunities, and quality controls. Develop enterprise-wide workflows and translate them into software requirements while documenting issues and resolving complex business problems.
What they're looking for
MUST-HAVE SKILLS
ALSO MENTIONED
Requires a bachelor’s degree and/or at least five years of equivalent experience in healthcare or medical/pharmaceutical industries, along with analytical ability, technical aptitude, and strong communication skills. Candidates should be proficient with Microsoft Office and able to manage multiple projects and deadlines; experience with CorVel systems, insurance billing, property and casualty, project management tools, and reporting platforms is preferred or a plus.
About the employer
CERIS
A clear path to payment integrity | A CorVel Company
CERIS, a CorVel company, serves healthcare payers in excelling with paying medical claims correctly the first time. We drive business and policy strategies through technology to detect and resolve pre and post payment issues for health claims. Our team of policy and payment integrity leaders deliver savings through the prevention of improper payments and recovery of overpayments. Our multi-faceted processes and relationships with the medical community makes CERIS a partner of choice for state agencies, commercial health payors, managed care organizations, and third party administrators across the nation. Visit our website to learn more.
- INDUSTRY
- Hospitals and Health Care
- COMPANY
- Public Company
- FOUNDED
- 1990
- HEADQUARTERS
- Fort Worth, Texas
- SIZE
- 501-1,000
- OFFICES
- 1 on LinkedIn
KNOWN FOR
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Questions about this role
- Is this CERIS role remote?
- Tagged remote.
- What does it pay?
- The posting lists $60,932–$91,106 a year.
- Does it sponsor visas?
- Listed as no visa sponsorship.
- What experience does it ask for?
- Listed as 5-10 years.
The posting, in full
The Business Analyst is an individual with current expertise in CorVel’s Care Management or claims management system and related product lines. As a member of the Business Operations Team the candidate will be asked to utilize expertise in a particular product line, but not be limited to projects in that particular area, and frequently collaborate with various subject-matter experts.
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The Business Analyst is an individual with current expertise in CorVel’s Care Management or claims management system and related product lines. As a member of the Business Operations Team the candidate will be asked to utilize expertise in a particular product line, but not be limited to projects in that particular area, and frequently collaborate with various subject-matter experts.
The position requires excellent listening and problem-solving attributes in addition to effective communication skills. The ability to evaluate alternative options and make decisions is a necessary attribute.
The position requires the individual to work in conjunction with CorVel management and field operations to develop consistent enterprise-wide workflow processes. The candidate will translate the consistent workflow processes into business requirements that can be developed into software applications through daily collaboration with the CorVel development team.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES
- Work with team members, software engineers, and business stakeholders to gain expertise with claims and care management applications and how these function in our production environments
- Interacts with business users, software engineers, technical staff and state experts to help identify, analyze, and implement enhancements as they are requested
- Work with business stakeholders to determine new opportunities for automation and increased quality controls in our core products
- Follow team protocol for updating, recording and organizing documentation
- Apply process and system knowledge to diagnose and resolve complex business problems
- Follow established escalation protocol when issues arise that may cause backlog of release expectations
- Acquire extensive business and system knowledge
- Apply system knowledge to diagnose and resolve complex business problems
- Work with business stakeholders to determine new opportunities for automation and increased quality controls in our core products
- Follow team protocol for updating, recording and organizing documentation
- Identify, document, and communicate all issues discovered in the course of analysis/project research
- Additional duties as assigned
KNOWLEDGE & SKILLS
- Aptitude for learning systems and technical processes
- Adept at thriving in a fast-paced environment with firm deadlines
- Analytical, problem-solving and resolution skills
- Demonstrated ability to manage details and timelines for multiple simultaneous complex projects
- Ability to work with technical and non-technical team members with varying communication styles, both locally and remotely
- Professional interpersonal and communications skills, verbal and written
- Experience with creating and leading presentations and/or conducting training for various levels of users
EDUCATION & EXPERIENCE
- Bachelor's degree and/or 5+ years of equivalent work experience in healthcare or medical/pharmaceutical industries
- Demonstrated analytical problem-solving skills and technical aptitude
- Exposure to application development and project management fundamentals
- Demonstrated ability to produce consistent, quality work under deadlines
- Strong communication skills with both technical and non-technical personnel, including the ability to relay complex ideas in simple terms
- Effective quantitative, analytical and interpretive skills
- Advanced abilities in Microsoft Excel, Word, and Outlook
- Experience with MS Project and Visio is a plus
- Experience with Teams, Webex, Zoom or other similar videoconference applications is preferred
- Strong organizational skills and attention to detail
- Expertise with the CorVel’s claim system or CareMC preferred
- Health industry and/or insurance billing experience a plus
- Property & casualty work experience preferred
- Familiarity with project management best practices and the creation of workflow documentation preferred
- Experience with Power BI or similar reporting/analytics tools is a plus
PAY RANGE
CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $60,932 - $91,106
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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