What are the responsibilities and job description for the Business Analyst position at HIRD LLC?
JOB SUMMARY
Recon Analyst I will be responsible for the research and remediation activities required to accurately reconcile/resolve Enrollment and Financial discrepancies between HPS data and Exchange/CMS data. This position requires experience in analyzing data and extracting insights. The ideal candidate will have strong reasoning and analytical skills, be able to identify trends, follow and identify controls, discover errors, and provide analysis with actionable next steps to the management team. This position requires a candidate who has experience with enrollment and billing data. Familiarity with government/CMS files/reporting is a plus.
ESSENTIAL JOB FUNCTIONS/DUTIES
● Reconcile enrollment and/or financial data and increase value to customers.
● Perform in-depth discrepancy analysis.
● Reconcile data from multiple data sources.
● Locate and define new opportunities for controls and process improvement.
● Perform first level analysis of data and produce graphical/data sheet summaries of results as needed.
● Document procedures, processes and workflows when required.
● Results oriented – driven to meet deadlines while still maintaining high-quality standards.
● Provide ad-hoc analysis as required.
● Ability to communicate with internal and external resources to deliver analysis details.
● Subject Matter Expertise with EDI, Enrollment File Processing, 834 Files
● Other tasks as outlined by management
Qualification
● Knowledge of the Affordable Care Act, State and Federal Based Insurance Exchanges, and 834 Enrollment processes is preferred.
● Prior Experience with Enrollment or Financial Data Cleanup or prior experience with Data Reconciliation related processes is required.
● Familiarity with Advanced Premium Tax Credits (APTC), Cost Sharing Reduction (CSR), and State Paid Subsidy is preferred.
● Proficiency with Excel skills including: basic formula writing, if/then statements, v-look-ups, and pivot tables, etc. is needed.
● Exceptional verbal and written communication skills are required.
● Prior Health Insurance Industry and/or CMS back-office/reconciliation/financial experience is a plus.
● Strong analytical and critical thinking skills are a must.
JOB REQUIREMENTS:
3 years’ experience as a Business Analyst
Data Analysis experience
Healthcare/ Financial domain experience preferred
Excellent skills in MS Office Tools (Power Point, Word, Excel)
Job Type: Full-time
Salary: $50,000.00 per year
Experience:
- Business analysis: 3 years (Required)
- Data Reconciliation: 2 years (Required)
- Financial sector: 2 years (Required)
- Healthcare management: 2 years (Required)
- EDI: 2 years (Preferred)
Work Location: In person