Job Posting for Enrollment Business Analyst III at Karna
Overview
The Enrollment Business Analyst III will work in support of government and commercial clients creating, collecting and managing data to support business performance and processes.
Responsibilities
Identify, create, collect and manage member eligibility, enrollment, and other healthcare data required to support and improve business performance
Generate easy-to-interpret reports based on collected data
Review complex individual cases (business situations and member enrollment use cases) against business rules and frameworks to generate a recommended resolution or course of action
Analyze eligibility requirements against existing processes and frameworks to identify process improvements and opportunities for automation
Works with Management Team and Data Science Team to implement improvements and automations
Identify, create, collect, and manage member eligibility and enrollment data required to support Quality Initiatives and improve business performance
Participate in selection and on-boarding of members of the enrollment team
Consult with client and other stakeholders to update policies and procedures for data operations and compliance
Acts as a liaison for member services to upper management and the client as required
Assists in coordinating the workload across a team of processors
Other duties as assigned
Qualifications
Requires at least five years of relevant experience
Bachelor’s Degree or equivalent
Experience with process improvement required; experience with Lean/Six Sigma is preferred
Hourly Wage Estimation for Enrollment Business Analyst III in Greenbelt, MD
$32.15 to $42.88
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