• Medicare Business Support Analyst

    Insight GlobalWoonsocket, RI 02895

    Job #2817811976

  • Job Description

    Insight Global is seeking Business Support Analyst to join a large health insurance client of ours. This team member will be responsible for supporting this processing and working closely with the various app teams to monitor processes and month end, troubleshoot issues, support, and suggest process improvements and code changes. It will be a lot of coordination and communication, scheduling and leading meetings, tracking and facilitating issues/enhancements and documenting meeting notes. This position will be part of the broader NextGen Production Support team and will serve as the Analyst for Train 6 processing. Train 6 processing includes the financial and analytical data flows for membership, premium, medical claims, pharmacy claims, and providers for both Medicare and IFP lines of business. This individual should be a quick learner with strong verbal and written communication skills. They should be comfortable leading meetings and pulling multiple teams together to work and resolve issues. This individual will also be responsible for monitoring production processes to ensure SLAs are met.

    Responsibilities

    Collaborate with numerous applications teams to monitor systems, applications, processes to meet the availability goals and to ensure highest levels of customer satisfaction.

    Work with multiple teams to coordinating issue resolution to ensure problems are worked and tracked timely

    Coordinate Month-End activities across multiple teams

    Risk identification, management, mitigation and reporting

    Required to be on call support 24x7 as needed on a rotation basis.

    Participate in infrastructure maintenance and application releases.

    Maintain system support documentation.

    Provide audit support at the train level, to include working with application teams to provide requested materials.

    Responsible for various aspects of event, incident, problem and change management.

    Adhere to all established methodologies, standards, and guidelines.

    Foster a positive environment and demonstrate successful relationship building with cross-functional teams and business partners.

    We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ~~~ .

    To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: ~~~/ .

    Skills and Requirements

    Bach Degree or Equivalent

    Experience working as an Analyst in a complex environment for 5+ years

    Basic financial background

    Strong experience working with large, complex ecosystems

    Experience in a Medicare or Medicaid space or environment

    Experience analyzing data: data trends and tracking of data:

    o Analyzing file transfer and file movements

    Understanding of delivery process via SAFE/AGILE methodologies.

    Work experience working with cross-functional teams to monitor processes and resolve issues

    Experience working with the business team; must be able to effectively manage some strong personalities

    Ability to effectively communicate and collaborate - ability to work and communicate with business partners and technology teams Competent, self-starter with ability to identify and bring forward ideas to improve the overall support of Medicare platform

    Excellent communication skills, both verbal and written; comfortable communicating with all levels of the company to include Senior Leadership.

    Proven success with achieving highest levels of customer satisfaction.

    Knowledge of SQL queries: how to read them & analyze them

    Technical background is a plus this will allow them to better understand the process, as well as help troubleshoot issues, suggest enhancements, and implement tools to better stabilize this space

    Demonstrated team player skills to achieve organization goals.

    Possess reasoning and decision-making skills in a fast-paced environment.

    Demonstrated ability to manage multiple tasks with excellent attention to detail.

    Proven ability to work across boundaries without alienating others, while bringing out the best in peers to be successful. null

    We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to ~~~.

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