Randstad Operations Analyst/Billing II(Business Analyst) in Richmond, Virginia
Operations Analyst/Billing II(Business Analyst)
salary:$24 - $29.69 per hour
date posted:Tuesday, March 13, 2018
job type:Temp to Perm
The Operations Analyst II - Billing is responsible for the data analysis, process engineering, report development and generation for the Member Operations department. This position is primarily responsible for developing an extensive expertise in the Wipro Member 360, QNXT and all interface applications, both customized and packaged.
An Operations Analyst II - Billing may be the primary contact for one or more system interface applications and is expected to provide a high level of expertise with matters relating to this interface and its functionality.
Develop and analyzes business performance reports for transportation, call center and enrollment data; provides notations of performance deviations and anomalies
Perform monthly enrollment process
Perform complex data analysis and report writing to identify trends
Create complex queries. Apply extensive understanding of database tables, relations, data types and values
Develop an expertise in Wipro Member 360, reconciliation modules and other standard report systems
Develop an expertise in Premium billing
Initiate process improvement and automation from concept to implementation
Document applications for use in training, maintenance, and department procedures
Research, gather and document requirements for adhoc reporting, project initiatives for new vendor, or business development opportunities.
Monitor, test and support system changes for applications
Develop advanced knowledge in referral module and interface with transportation scheduling/dispatch system
Create and modify enrollment applications entered into Wipro Member 360
Analyze issues related to transportation reimbursement process and make recommendations to management for resolutions.
Build advanced reports and filters using call center reporting software
Ensure programs and business processes meet necessary requirements and are accurately captured in Process Maps and SOPs.
Attend meetings, compiles and publishes meeting minutes along with deliverables and other requirements.
Confidently works with all levels within the organization to accomplish project goals
Performs other duties as assigned
MINIMUM EDUCATION REQUIREMENTS
Bachelor's degree in Business, Mathematics, Economics, Information Systems or related technical field required
Lean Six Sigma certification preferred
SPECIAL KNOWLEDGE AND/OR SKILLS
Proficient knowledge of SQL queries to include ability to create and populate databases, perform data normalization, create query analysis, conduct table indexing, perform multiple joins, and comfortable use of functions (average, count, sum, etc.)
Healthcare with Medicare and/or Medicaid Operations preferred
Strong quantitative, analytical, organizational and problem solving skills
Experience in health insurance claims processing, operational and/or data analysis experience; knowledge in database structures and standard query and reporting tools
Proficient in statistical use of Microsoft Excel, to include comfortably utilizing functions, developing charts and graphs, inserting formulas, performing Lookups, sorting and filtering data
Proficient in Microsoft Access, to include ability to create customs forms, create reports, create lookup and parameters, and utilize function/expression building
Proficient knowledge of flow charting/process mapping
Experience in process management and process optimization preferred
A minimum of one year related experience
One or more years' experience as a data, systems or business analyst
One or more years business or Healthcare related experience
- Physical health sufficient to meet the ergonomic standards and demands of the position.