Business Analyst (Managed Care)

Tempe, AZ

$85,000 - $110,000 Per Year

NEW position in TEMPE!  Combine your expert clinical knowledge and skill in managed care analytics.

Serve as the SME for this medical management area.

      (Will relocate within the region)

-Perform and lead various analysis and interpretation to link business needs and objectives and implement process improvements.
- Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems

- Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes

-Resolve issues and identify opportunities for process redesign and improvement

-Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements

-Evaluate risks and concerns and communicate to management

-Coordinate with various business units and departments in the development and delivery of training programs

-Develop, share, and incorporate organizational best practices into business applications

-Oversee all changes to departmental policies and procedures, including communicating and implementing the changes

-Serve as the SME on the assigned function product to ensure operational performance


Must Have great rounded knowledge Managed Care and Clinical knowledge.

(UM, Prior Authorization, Claims, Billing, Coding, G&A, HEDIS)

SQL experience is a must (but 2nd to Clinical and Managed care)

**** This is not an IT or Data heavy role – need the expert clinical knowledge.

-Bachelor’s degree in related field or equivalent experience.

-6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis.


Preferred Skills :

Advanced knowledge of Microsoft Applications, including Excel and Access preferred.

Project management experience preferred.


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