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Business Analyst - Program Integrity Vendor Audits (Remote)

Business Analyst - Program Integrity Vendor Audits (Remote)

SentaraBoise, ID, United States
2 days ago
Job type
  • Full-time
  • Remote
Job description

City / State

Norfolk, VA

Work Shift

First (Days)

Overview : Overview

We are looking for a meticulous and analytical Business Analyst to oversee the management of third-party vendors. This role will be responsible for analyzing vendor performance, identifying cost-saving opportunities, and is critical in ensuring vendor compliance with contractual, regulatory, and operational standards. The ideal candidate will bring strong analytical skills, audit / claims experience, and a collaborative mindset to support risk mitigation and performance improvement across the vendor landscape.

Key Responsibilities :

  • Analyze audit findings and vendor performance data to identify trends, risks, and improvement opportunities.
  • Data extraction & Analysis
  • Regulatory Reporting & KPI Development
  • Serve as a liaison between vendors and providers to resolve issues and improve service delivery.
  • Track and evaluate vendor performance using KPIs and SLAs.
  • Conduct regular vendor reviews and audits to ensure compliance and quality standards.
  • Evaluate vendor adherence to Business Associate Agreements (BAAs), SLAs, and quality standards.
  • Recommend enhancements to vendor audit frameworks, tools, and documentation practices.
  • Contribute to the development of policies and procedures for vendor oversight and governance.
  • Support continuous improvement initiatives in vendor lifecycle management.
  • Maintain documentation of audit procedures, findings, and follow-up actions.
  • Contribute to the development of vendor audit policies and workflows.

Preferred Skills :

  • Knowledge of Databricks
  • Knowledge of SQL
  • Experience in regulated industries (e.g., healthcare, finance, insurance).
  • Experience and / or knowledge of medical coding and inpatient auditing
  • Education

  • Bachelor's Degree (Required)
  • Certification / Licensure

  • No specific certification or licensure requirements
  • Experience

  • 3+ years of relevant experience in business analysis, data reporting, or analytics (Required)
  • Must have 3+ years of experience in business analysis, auditing, claims, vendor management, or compliance.
  • Knowledge of business intelligence (BI) tools, SQL querying, and reporting software.
  • Required to have experience working with health insurance, claims data, and auditing claims data
  • Excellent written and verbal communication skills.
  • Benefits : Caring For Your Family and Your Career

  • Medical, Dental, Vision plans
  • Adoption, Fertility and Surrogacy Reimbursement up to $10,000
  • Paid Time Off and Sick Leave
  • Paid Parental & Family Caregiver Leave
  • Emergency Backup Care
  • Long-Term, Short-Term Disability, and Critical Illness plans
  • Life Insurance
  • 401k / 403B with Employer Match
  • Tuition Assistance - $5,250 / year and discounted educational opportunities through Guild Education
  • Student Debt Pay Down - $10,000
  • Reimbursement for certifications and free access to complete CEUs and professional development
  • Pet Insurance
  • Legal Resources Plan
  • Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
  • Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

    In support of our mission "to improve health every day," this is a tobacco-free environment.

    For positions that are available as remote work, Sentara Health employs associates in the following states :

    Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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