City/State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health Plan is hiring for a Senior Business Analyst - Operations.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

This is a Full-Time position, fully remote, with day shift hours and great benefits!

Work Location: Remote opportunities available in the following states - Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

For applicants within Maryland, Nevada, Ohio and Washington States, the following hiring range will be applied: $74,933.04 - $112,410.48 with a target hiring range of $74,933.04 - $89,849.76.

Job Responsibilities

This position is responsible for leading root cause analysis efforts for health plan wide, sometimes critical, issues received by the Customer Advocacy Team (CAT). To include the research and investigation of this issue presented, acting as the primary point of contact for involved stakeholders, scheduling, leading meetings, and driving the containment and countermeasure implementation. Acts as the liaison between internal/external stakeholders communicating with regular updates.

Ideally possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, benefit configuration, and member enrollment as well as network and/or provider data management. Experience with six sigma, process improvement, business requirement gathering, issue triaging and process mapping is a plus.

Related experience will be in root cause analysis or operations.

• Strong critical thinking skills and questioning mindset

• Works well under pressure and time constraints

• Passionate about continued learning opportunities

• Heightened emotional intelligence and able to connect with our stakeholders

• Ability to speak-up and call-out when things seem off and advocate for those experiencing the issue

• Enjoys and is comfortable with public speaking

• Strong organizational skills

• Strong verbal and written communication skills with demonstrated ability to research, problem solve, trouble shoot, influence, present and partner across the organization

• Proven ability to analyze data, process/procedures and initiate root cause analysis to influence correction actions with leadership

• Proven ability to work independently while managing multiple tasks and priorities

• Demonstrated ability to independently lead multi-functional projects and serve as a resource for other members of the team

• Has a quiet and private remote workspace to protect PHI

Job Requirements:

• Required to have - Bachelor's Level Degree

• Required to have 3+ years of relevant experience
• Related experience will be in one of the following areas, root cause analysis, health-care related field or business operations.

Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.

For information about our employee benefits, please visit: Benefits - Sentara (sentaracareers.com)

Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years' experience in the insurance business and 20 years' experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services - all to help our members improve their health.

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-57092

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Keywords: Business Analyst, Operations, Excel, SQL, Data Analysis, Tableau, Claims, QNXT, CSC, System administration, member enrollment, enrollment, reporting, remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

Job Summary

This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment.

Related experience will be in one of the following areas, operations, IT, or reporting.

Bachelor's Level Degree preferred.

Qualifications:

BLD - Bachelor's Level Degree

Related experience

Skills

Communication, Complex Problem Solving, Critical Thinking, Judgment and Decision Making, Microsoft Excel, Operations Analysis, Systems Analysis

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.