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Role Description

Navitus Health Solutions is seeking a Business Analyst to join our team! The Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. This individual develops an understanding of Government Programs regulations and related CMS and/or state-specific guidance, and is responsible for proactive review of all CMS and/or state regulations and guidance.

• Identifies and manages changes to existing Technical Operations processes; this includes scope definition, business requirements, user acceptance testing, and implementation.
• Establishes processes that are scalable and efficient, and ensures smooth transition to operational maintenance by the Technical Operations Analysts.
• Develops project plans to ensure the quality and timeliness of project deliverables.
• Ensures technical processes supporting government programs have the appropriate controls, oversight, and reporting, and are compliant with regulatory requirements from end to end.
• Identifies key metrics to monitor the compliance and accuracy of the process, establishing oversight methods that are operationally efficient and effective.
• Provides SME assistance when process metrics indicate a possible risk to compliance or accuracy, and leads any corrective action required following root cause analysis.
• Reviews regulatory guidance, and identifies changes needed to existing Technical Operations processes and/or new processes which need to be established to remain compliant.
• Performs data analysis using SQL or business intelligence software.
• Develops a solid working knowledge of Navitus’ claims processing system.
• Other duties as assigned.

Qualifications

• Bachelor’s degree in business-related field, or equivalent combination of education and experience.
• 3+ years’ Analyst experience with writing requirements, developing solutions, implementing process improvements, and conducting testing in a business environment preferred.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Requirements

• Proficient in data reporting and data manipulation for analysis.
• Experience using standard tools for reporting at Navitus, including Microsoft Excel and QlikView.

Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance.
• 20 days paid time off.
• 4 weeks paid parental leave.
• 9 paid holidays.
• 401K company match of up to 5% - No vesting requirement.
• Adoption Assistance Program.
• Flexible Spending Account.
• Educational Assistance Plan and Professional Membership assistance.
• Referral Bonus Program – up to $750!