Business Analyst, Provider Network

Job Summary

To support the provider network, the full-time remote Business Analyst will manage the intake and interpretation of regulatory requirements related to coverage and reimbursement while coordinating with stakeholders and ensuring compliance with health plan requirements.

Key responsibilities

• Develop and maintain requirement documents to align with regulatory and health plan requirements
• Conduct analysis to identify root causes and assist with problem management related to state requirements
• Communicate requirement interpretations and changes to relevant teams and ensure solution traceability

Required qualifications

• At least 2 years of experience in a managed care organization or health insurance field
• Knowledge of policy and government legislative review
• Strong analytical skills and proficiency in Office Product Suite
• Experience working in a dynamic and autonomous environment
• Ability to work independently in a remote setting