HJ Staffing

Providing the highest level of professional personnel solutions and placing top talent to all organizations.

Business Analyst, Quality & Business Performance

Full TimeRemoteTeam 11-50Since 2016H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

22 days ago

Salary

Not specified

Bachelor Degree3 yrs expEnglishPMPSQLTableau

Job Description

• Design and conduct deep-dive analysis across multiple datasets to uncover patterns and opportunities for healthcare process improvement. • Build and maintain detailed workflows, data models, and use cases for all analytics performed. • Facilitate workshops to prioritize business needs and deliver compelling presentations that translate technical findings into executive-level recommendations. • Assist in the design and implementation of healthcare IT solutions, ensuring they meet both business goals and strict regulatory requirements. • Evaluate the long-term effectiveness of implemented solutions and pivot strategies based on data-driven results.

Job Requirements

  • 3–5 years in a health plan or healthcare services environment, with at least 3 years specifically focused on healthcare operations, authorizations, or claims.
  • Expert in Excel, specifically with Chart Control and Power Query.
  • Proficiency in Tableau, Power BI, SQL, and other data visualization tools.
  • Bachelor’s degree in Business, Health Informatics, or a related field (or 7 years of direct experience).
  • A Master’s degree or certifications (CBAP, CCBA, PMP) are highly preferred.
  • Solid understanding of HIPAA, CMS guidelines, and payer-specific rules.
  • A proven track record of process improvement and automation within quality or business performance workflows.

Benefits

  • Must be a US Citizen or Green Card Holder

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