Senior Business Analyst

Job Summary

A company is looking for a Senior Business Analyst - Clinical Operations Support.

Key Responsibilities

• Manage issue tracking, vendor communication, and project timelines
• Coordinate testing processes and assist in creating business requirement documentation
• Analyze reports for accuracy and operational optimization while maintaining documentation

Required Qualifications

• Bachelor's degree in a related field
• Minimum of five years of relevant experience in healthcare or health insurance
• Knowledge of CMS and DHHS guidance
• Experience with Utilization Management and Appeals & Grievances workflows
• Ability to manage multiple assignments and implement projects effectively