Healthcare Claims Operations Business Analyst - 5 Month Contract

HEALTHCARE CLAIMS OPERATIONS BUSINESS ANALYST

DURATION: 5-month contract (W2)

LOCATION: Oakland, CA 94612

JOB NUMBER: 50035

CLIENT: One of the country's largest health care and health plan providers

DEPARTMENT: Insurance Company Claims Operations

STAGE OF THE PROJECT: Production operations

SCOPE OF THE PROJECT/TOP DAILY RESPONSIBILITIES:

- California remediation (DOI plan rejection) project support, including coordinating impacted plans benefits configuration updates, retro claims processing, and progress/metrics reporting.
- California remediation (plan assignment correction) project supporting, including benefits configuration update tracking, claims impact analysis, and retro claims adjustment progress/metrics reporting.
- Dell denial data analyticsLIST ON RESUME):
- Bachelor's degree
- MINIMUM 4 YEARS' HEALTHCARE BUSINESS OPERATIONS EXPERIENCE (IE REVENUE CYCLE, CLAIMS ADMINISTRATION, PRODUCT MANAGEMENT, ETC.), WITHOUT THIS EXPERIENCE YOU WILL BE REJECTED
- Clear and concise communication (verbal and written)
- QA error corrections
- PowerPoint presentation development
- Data analytics
- Intermediate to advanced Excel skills - pivot tables, V-lookups, data imports
- CLAIMS OPERATIONS MANAGEMENT
- Dashboard reporting
- Must have healthcare experience on either provider or insurer side