Business Analyst (Healthcare) - Apex Systems

Job#: 2042119

Job Description:

Business Analyst (Healthcare)
Location: San Diego, CA* 
(Work from home but must be located within 2 hours of San Diego)
If you have a case management/data analytics background from a business perspective, then we want to hear from you. To apply, send your resume to [email protected].
*An Excel assessment will be required to accompany your application.
Description:
Advises and recommends areas of program planning, business requirements management, budget execution and program coordination. Prepares needs assessment. Validates resource requirements and develops cost estimate models. Conducts and coordinates financial, product, market, operational, and related research to support strategic and business planning within the various departments and programs of the client group. Interprets, evaluates, and interrelates research data, and develops integrated business analyses and projections for incorporation into strategic decision-making. Plans and coordinates the development of primary and secondary market research studies in support of strategic planning and specific marketing initiatives, as required, and presents findings of studies to client committees. Provides consultative, advisory, technical, and staff support, as appropriate. Ability to use survey and market research methodologies, systems, and techniques. Experience Level: BA or BS required.
Top Daily Responsibilities:
1. Focuses on case resolution with emphasis of coverage issues to ensure no discrepancies exist among systems, with our members’ complaints.
2. Supports daily Business Case Development through timely analysis and resolution of member complaints by performing research and review through multiple systems.
3. Perform / timely follow up through member cases.
4. Ability to communicate with members when required.
Top (3) Required Skills Candidate Should Have:
• Analytical skills – a must, in order to perform accurately and timely on cases, to ensure a first time full resolution is achieved.
• Must be able to proactively work in a collaborative Team Environment, demonstrating development of positive relationships with peers.
• Great communication skills to timely provide feedback on issues that might affect multiple members.
• Flexibility to adapt to and to follow ongoing process changes.
Additional Skills Required:
Excel Intermediate 80% Pass (Online Test provided by supplier)
Typing Skills: 30+ WPM (Online Test provided and verified by supplier)
Specific Systems Knowledge Required: Microsoft Office Suite, Intermediate Excel,
Expected Shift: 8am-5pm (depending on business requirements)
Interview Process: Remote Video Conference (Camera On), Manager will coordinate and provide Meeting Invite.
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EEO Employer

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [email protected] or 844-463-6178.