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Business Analyst

Job Details

Hiring Organization Centivo
Post Name Business Analyst
Qualification Any Graduate
Industry Private
Employment Type Full Time
Work Hours 8 Hours
Salary USD 83000 To USD 96500 Per Year
Location Work From Home

Job Description

We exist for American workers and their employers — who are the backbone of our economy.  That is where Centivo comes in — our mission is to bring affordable, high-quality healthcare to the millions of Americans who struggle to pay their healthcare bills.

Centivo is looking for a Business Analyst to join our team!

As a Business Analyst for Operations, you will be responsibly spearheading the organization’s automation, efficiency, and service controls based on maximizing the functionality available from our Core Claims system (Javelina) and all supporting Vendors and Centivo technology.

You will Coordinate with all business units and external vendors during client implementations and/or conversions to determine requirements. This role assures that interfaces between internal systems and vendor interfaces meet client needs as well as operational processes.

What you’ll do:

Working under the guidance of the Director of System Configuration, you will:

  • Effectively work with end-users and operational partners to identify business needs and to ensure Implementations meet business requirements and appropriately address prioritized needs.
  • Function as a liaison, between business and technical resources to ensure people, processes, and solutions meet or exceed the needs of our Clients and Operational areas.
  • Work with business partners to identify and articulate business requirements in each area. Facilitates brainstorming sessions to review solution options that will solve business needs.
  • Analyze new configurations and changes to existing configurations to perform all Client and Claims administration based on product design and functionality and perform test validation as needed.
  • Proactively keep abreast of Vendor/Javelina enhancements as well as how they integrate with existing solutions.
  • Assist the functional owners in developing workflows, controls, and procedures designed to maximize the Operational and Financial control structure while delivering efficiency.
  • Collaborate with the Subject Matter Expert (SME) on all aspects of the functionality of the Javelina system and act as the primary liaison with Eldorado for reported issues and enhancement requests.
  • Be responsible for oversight of the implementation of Javelina Upgrades and all supporting technologies. This includes coordinating user acceptance testing with the Operational leads and creating a test tracking document to validate all testing results.
  • Be responsible for making online and ad-hoc configuration changes within Javelina and supporting systems.
  • Analyze, interpret, load, test, and maintain configuration tables and files.
  • Proactively identify opportunities and recommend system solutions that increase automation, resolve system deficiencies, and enhance claims processing and reporting to meet and exceed business requirements.
  • Participate in the assessment of new technologies, new vendors, and any system enhancements being contemplated.
  • Participate in internal and external meetings for plan design, strategy, and setup.

You should have:

  • Candidates must have at least 5-7 years of experience with TPA and Self-Funding processes and at least 3 yrs in a business analysis role.
  • Candidates must have prior experience with a highly automated and integrated claim adjudication system, El Dorado-Javelina preferred but not required.
  • Understands health insurance benefits administration in a Self-Funded environment
  • Knowledge of professional and institutional claims adjudication.
  • Coding knowledge and experience with CPT, HCPCS, ICD9, CDT, Revenue, DRG, and other relevant medical and industry-standard codes.
  • Exemplary customer service skills demonstrated by researching and resolving issues that are configuration related in a timely and accurate manner.
  • Demonstrated organizational skills and ability to work independently, problem-solve, and make decisions.
  • Demonstrated ability to work in a fast-paced environment managing multiple issues with the pressure of production schedules and deadlines.
  • Demonstrated ability to work collaboratively and influence others to drive results across multiple functional teams.
  • Proficiency in Microsoft Office applications and other web-based software applications
  • Ability to learn new proprietary computer systems

Salary range:

$83,000 – $96,500. To determine our range, we consider as many of the following data points as are available to us: external market salary survey data, internal data in terms of comparable roles, and our budget for the position.

Compensation is both an art and a science (as is negotiating a salary for a new job at a new company!), so what we have posted is our good faith estimate of what we expect to pay.

We encourage candidates to apply for positions that are of interest and share their desired salary. We consider that as an additional data point, along with candidate skills and qualifications as part of our process.

Who we are:

Centivo is a new type of health plan for self-funded employers that is built to save 15 percent or more compared to traditional insurance carriers and is easy to use for employers and employees.

Centivo’s mission is to bring lower cost, higher quality healthcare to the millions of working Americans who struggle to pay their healthcare bills. With Centivo, employers can offer their employees affordable and predictable costs, a high-tech member experience, exceptional service, and a range of benefit options including both traditional and proprietary networks.

Centivo develops high-value networks in partnership with leading local healthcare providers and uses data analytics to refine the network and navigate members to the right providers.  Members get a partner for all their healthcare needs through a primary care-centered model, as well as expanded access and fully integrated virtual care.

Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading investors including B Capital Group, Bain Capital Ventures, Bessemer Venture Partners, Company Ventures, Define Ventures, F-Prime Capital, HarbourVest Partners, Ingleside Investors, Maverick Ventures, Nassau Street Ventures (an AVG fund), and Oxeon Investments.

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