Senior business analyst Jobs in Frisco, TX

Preferred Qualifications - Encounters :

• Outbound Encounters Submissions; expert knowledge of X12 format to include 837, 999 and 277 files.
• Professional experience in the managed care, healthcare, Medicaid or other health insurance industries.
• Experience in Healthcare claims operations and / or encounter submissions preferred.
• Expertise in database management, data analysis, and process improvement.
• Proficiency in SQL and other database query languages.
• Requires strong expertise in MS Excel and other office products.
• Possesses strong analytical and problem solving skills, with experience working as a liaison between technical and non-technical groups.
• Excellent verbal and written communication skills while sharing complex healthcare analytic data.
• Ability to forge effective business relationships across organizations, functional groups and levels.
• EDIFECs experience preferred.

Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis. Supports departmental management team by providing trending and performance data. Supports special projects. Maintains and monitors reporting queues and requests (if appropriate), and internal share point sites. May participate in full life cycle development by performing requirements analysis, process development and design, and testing using development methodology. Collaborates with functional teams, as well as with IT business analysts and programmers to develop detailed design specifications according to standards.

Other Job Requirements

Responsibilities

5+ years of experience in analysis.

Related professional experience in the managed care, healthcare, or insurance industries.

Analytical / problem solving skills, excellent verbal and written communication skills, strong PC background, efficient in using standard software.

Knowledge of system process analysis and / or program management, estimating IT system development and testing.

For positions supporting Medicare, requires 3+ years of experience working in Medicare Operations.

General Job Information

Title

Senior Business Analyst - Encounter Operations

Grade

Work Experience - Required

Business Analysis

Work Experience - Preferred

Education - Required

A Combination of Education and Work Experience May Be Considered., Bachelor's

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum : 70,715

Salary Maximum : 113,145

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE / M / F / Vet / Disabled.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.