Business Project Senior Analyst

Job Summary

A company is looking for a Business Project Senior Analyst to support Payment Integrity operations.

Key Responsibilities

• Utilize Medicare and Commercial Health Insurance expertise to ensure accurate benefit primacy determination
• Communicate with vendor partners to enhance post-payment recovery efforts and analyze vendor management reporting
• Participate in projects supporting business initiatives and address quality trends in primacy determination

Required Qualifications

• Bachelor's degree or higher strongly preferred
• 2+ years of experience with Medicare and coordination of benefits primacy rules
• 2+ years of claim system and processing knowledge preferred
• Strong proficiency in Microsoft Office products, especially Excel
• Demonstrated ability to adapt to change and manage time effectively