Sr Business Analyst, Enrollment Job Vacancy in Evolent Health Pune, Maharashtra – Updated today
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Full Details :
Company Name : Evolent Health
Location : Pune, Maharashtra
Position :
Job Description : It’s Time For A Change…
Your Future Evolves Here
Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.
Are we growing? Absolutely – about 40% in year-over-year revenue growth in 2018. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019, and one of the “50 Great Places to Work” in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.
What You’ll Be Doing:
Position Summary
Assist the director in analyzing Enrollment and Eligibility department performance and processes and developing new operational processes and recommendations for improvements.
Provide guidance for team and management regarding escalations and help to proactively resolve issues before they occur.
Assist the director in developing and analyzing appropriate team performance metrics.
Promote the use of accepted best practices and innovative strategies.
Keep abreast of changes in requirements.
Assist the team in resolving administrative and routine operational issues as they ariseRoles & Responsibilities
Develop, refine and implement effective policies and procedures, and subsequent training, to ensure all team members are able to perform properly.
Assist with new client implementation support to ensure timely, accurate delivery enrollment data, claim data entry, system set-up, cross-departmental communication, standard reports, and exception reporting.
Develop knowledge in ACA Exchange, Centers for Medicare & Medicaid Service, Self-Funded, and all other applicable regulatory agencies that govern the enrollment data both received via electronic data interface (EDI) and non-EDI.
Identify way to improve ongoing reconciliation of group and agency enrollment data; including proactively reporting and resolving discrepancies.
Mandatory Skills
US Health Care business Analyst experience .
Enrollment and Eligibility experience.
PL/SQL
EDI 834
Good to have skills
Power BI
This post is listed Under Education
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