Analyst, Business - Advanced Excel (Remote)

JOB DESCRIPTION Job Summary Provides analyst support for business requirements activities of moderate complexity. Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. Coordinates cross-functionally with stakeholders and subject matter experts to support business needs, and participates in governance committees as applicable.

Essential Job Duties • Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes to ensure alignment with regulatory and health plan/product requirements. • Monitors regulatory sources to ensure all updates are aligned. • Navigates analytical problems and clearly defines and documents unique specifications. • Supports development and ongoing interpretation of review processes, committees and collaboration with key partner organizations. • Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements. • Provides status updates to health plan/product team partners, senior leadership and applicable stakeholders. • Communicates requirement interpretations and changes to health plans/product teams and various impacted functional areas for requirement interpretation alignment and approval and solution traceability; coordinates meetings and champions/deploys operational process best practices. • Where applicable, codifies the requirements for system configuration alignment and interpretation. Provides support and/or requirement interpretation inconsistencies and complaints. • Assists with the development of requirement solution standards and best practices, and suggests improvement processes as applicable to consistently apply requirements across states and products. • Facilitates self-organized reporting to ensure health plans/product teams, leaders, and applicable stakeholders are aware of work efforts and impact for prospective or retrospective requirement changes that impact financials. • Conducts industry research and engagement to evaluate, provide insights, and develop/deploy best practices. • Coordinates with applicable teams for analysis, impact and implementation of changes that impact health plan/product. • Engages with operational leadership and health plan support functions to review compliance-based issues for benefit planning purposes. • Ensures end-to-end business requirements are documented, interpretation is agreed upon, and solutioning is clear for all applicable parties. • Develops and maintains relationships with health plan/product teams and corporate operations.

Required Qualifications • At least 2 years of operations/analyst experience in a managed care organization, health insurance setting or related field, or equivalent combination of relevant education and experience. • Policy/government and legislative review knowledge. • Analytical and problem-solving skills. • Ability to concisely synthesize large and complex requirements. • Ability to organize and maintain regulatory data including real-time policy changes. • Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. • Experience creating reporting tools/providing project/process updates. • Familiarity with administration systems. • Ability to work in a project team setting and complete individually assigned tasks within established timelines to meet desired deployment deadlines. • Ability to work cross-functionally across a highly matrixed organization. • Effective verbal, written and interpersonal communication skills, and ability to engage with stakeholders of all organizational levels. • Microsoft Office suite and applicable software