• Share :

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Business Analyst II - Remote in the California market

Summary

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.

  • Develops and documents workflow, systems requirements, system impact analysis, systems design, process analysis and testing (including reasonableness checks) using software development methodology to provide efficient, cost-effective solutions as directed. Identifies impact of solutions on existing and future systems. May perform operational activities.

  • Creates and maintains standard related reports to support operational and development needs.

  • Manages reporting and requests for ad hoc reports to support sales, implementation, new product development, specials.

  • Queries data warehouse and internal databases and prepares user friendly reports according to requestors? requirements.

  • Creates and maintains internal management tools and databases to support CQI, rates, workflow business rules and system configuration, reimbursement and document management requirements.

  • Develops and maintains project plans. Manages small to medium sized projects, system enhancements impacting data management.

  • Conducts root cause analyses, gathering data to pinpoint problem areas on which to focus, validating that the analysis is data driven, recommending and implementing solutions and evaluating those results, and implementing controls to monitor consistent use of the solution.

  • Participates in design plans for implementation, produces user documentation and training materials. May conduct end user training.

  • Provides status reports that give a detailed description of the current project's progress and indicates time devoted to each task of the project; leads status meetings, creating agendas and documenting meeting minutes as needed.

  • Identifies reporting needs based on system configuration and workflows and documents reporting requirements and testing of new reports in development prior to implementation to Production.

  • Participates in initiatives or projects that support process improvements, leveraging new system capabilities or the integration of data/other applications into existing systems.

  • Performs other duties as assigned.

Responsibilities

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

  • Analytical/problem solving skills.

  • Excellent verbal and written communication skills.

  • Strong PC background and 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 experience working in Medicare Operations.

Work Experience

Work Experience - Required:

Business Analysis

Work Experience - Preferred:

Education

Education - Required:

A Combination of Education and Work Experience May Be Considered., Bachelors

Education - Preferred:

Certifications

Certifications - Required:

Certifications - Preferred:

Potential pay for this position ranges from $55,270.00 - $88,430.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (***/benefits) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.*** or email ***.

Read the full job description and apply online on the recuiter's web-site

Find Jobs Hiring Now Near You!

Get Jobilize Mobile App

Get Jobilize Job Search Mobile App Now

Receive real-time job alerts and never miss the right job again

Get it on Google Play Download on the App Store
Travel Nurse RN - Labor and Delivery 2,772 per week

GHR Healthcare


GHR Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Providence, Rhode Island. & Requirements • Specialty: Labor and Delivery • Discipline: RN • Duration: 6 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel GHR Healthcare Job ID...


Occupational Therapist, Homecare Per Diem

VNA of Care New England

  • US - RI - RI - Warwick

  • October 31, 2024


Job Summary: • • Under the supervision of the Team/Program Manager, the HH clinician is accountable for effectively managing or caring for a caseload of patients from admission to transition into the community, involving interdisciplinary support and referrals when appropriate. • This position...


Surgical Adv. Clinical Innovation Specialist - East

J and J Family of Companies


Surgical Adv. Clinical Innovation Specialist - East - 2406213823W Description Johnson & Johnson is currently seeking a Surgical Advanced Clinical Innovation Specialist to join our Abiomed Team. This position will work within the Eastern United States. At Johnson & Johnson, we believe health is...


Business Analyst II - Remote in the California market

Prime Therapeutics


Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Business Analyst II - Remote in the California market Summary Serves as liaison between departmental team...


Travel Nurse RN - ED - Emergency Department 2,333 per week

AHS Staffing

  • US - RI - RI - Warwick

  • October 31, 2024


AHS Staffing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Warwick, Rhode Island. & Requirements • Specialty: • ED - Emergency Department • Discipline: • RN • Start Date: • 11/17/2024 • Duration: • 13 weeks • 36 hours per week • Shift: • 12 hours, nights •...


Advanced Clinical Innovation Specialist - East

J and J Family of Companies


Advanced Clinical Innovation Specialist - East - 2406213818W Description Johnson & Johnson is currently seeking an Advanced Clinical Innovation Specialist to join our Abiomed Team. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a...


Travel Radiology Technician 2,492 per week

Planet Healthcare


Planet Healthcare is seeking a travel Radiology Technician for a travel job in North Providence, Rhode Island. & Requirements • Specialty: Radiology Technician • Discipline: Allied Health Professional • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, evenings • Employment Type: Travel...


Travel Radiology Tech Rad Tech Interventional Radiology IR

Epic Travel Staffing


Travel Radiology Tech - Interventional Radiology Epic Travel Staffing is hiring a Travel Radiology Tech - Interventional Radiology. We`ll be your ticket to the travel Rad Tech - IR job you`ll love with unparalleled recruiter support and industry-best benefits. Shift: Days Length: 13 Start Date:...


Travel Interventional Radiology Technologist 2,784 per week

Roger Williams Medical Center


Certification Details • Drivers License/State ID • Emergency Contact Form • ACLS - Advanced Cardiac Life Support • BLS - Basic Life Support • PALS - Pediatric Advanced Life Support • NRP - Neonatal Resuscitation Procedure • TNCC - Trauma Nursing Core Course • Tech Cert Verification - National •...


Physician Assistant

Genesis Healthcare Services


Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility, with no on call! We are seeking a part-time (16-20 hours per week) provider for float position between our centers located in Rhode Island. This position can be filled by a nurse...


Virtual FNP-Mental Health TN & MS

Integrated Resources


Must be certified as FNP *and* PMHNP in the States of Tennessee and Mississippi. • Candidate contact information must be included on resume. • The Client Provider- BH Hybrid Nurse Practitioner leverages administrative support in addition to delivering patient care services through virtual...


Physician Assistant - Newport, RI

Matrix Providers


Physician Assistant - Newport, RI Location: , RI, United States Healthcare Provider Type : Ancillary Services (MQS) START YOUR APPLICATION (***/resumedirect/ApplyOnline/Apply.aspx?req_id=2959674&source=2959674-CJB-0) Experience the Matrix Providers Advantage. We strive to provide a framework of...


NURSE PRACTITIONER

AlignMed Partners

  • US - RI - RI - Kenyon

  • October 31, 2024


Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on call or weekends)! • We are seeking a full-time (32-40 hours per week) provider for our Greenville Center located in Greenville, RI. This position can be filled by a nurse...


Travel Imaging Tech Medical Imaging Technician MRI Magnetic Resonance Imaging

Epic Travel Staffing


Travel Imaging Tech - MRI Epic Travel Staffing is hiring a Travel Imaging Tech - MRI. We`ll be your ticket to the travel Medical Imaging Technician - Magnetic Resonance Imaging job you`ll love with unparalleled recruiter support and industry-best benefits. Shift: Nights Length: 13 Start Date:...


Controller

Boston Human Capital Partners


Position Overview • The Controller will play a critical role by overseeing and implementing day-to-day finance and accounting operations, including accounts payable/receivable, job cost accounting, payroll, and cash management. Additional responsibilities include compiling data and preparing monthly...


Senior Big Data Engineer - Person360 & MDM

Highmark Health


Company : Highmark Health : JOB SUMMARY We are on a mission to deliver remarkable health experiences, freeing people to be their best. This requires an advanced 360 person-centered approach to deliver the right message, guidance, care, outcome, and experiences, all at the right time. This Sr...


AI & Innovation Strategist

Lumen Inc


About Lumen Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. Together, we are building a culture and company from the people up - committed to teamwork, trust and transparency. People power progress. Lumen's...


Senior Release Train Engineer

Humana


Become a part of our caring community and help us put health first The Senior Release Train Engineer (RTE) has Comprehensive, end-to-end responsibility as facilitator and coach of a moderately complex Agile Release Train (ART). Ensures all events are aligned with Scaled Agile Framework (SAFe)...


Remote Associate Inside Sales Agent - National General

National General Insurance


Role Overview • National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a...


ServiceNow Virtual Agent Developer - Team Lead

Ford Motor Company


We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world - together. At Ford, we're all a part of something bigger than ourselves. Are you ready to change the way the world moves? Enterprise Platform Engineering & Operations...


Technical Artist - Performance, Metaverse

Meta Inc


Summary: A Technical Artist is the key bridge between artists and engineers. We are seeking a highly skilled and experienced Technical Artist Lead to join our Metaverse Technical Art team, focusing on improving performance of all our interactive experiences. You will work closely with a...


Finance Manager Remote

CBRE


Finance Manager (Remote) Job ID 190810 Posted 25-Oct-2024 Service line GWS Segment Role type Full-time Areas of Interest Accounting/Finance Location(s) Remote - US - Remote - US - United States of America About the role As a CBRE Finance Manager, you will lead the team responsible for producing...


Manager HRIS- REMOTE

Ryder


_Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (***/job-applicant-privacy-policy)_ Summary The Manager HRIS is responsible for providing serviced and solutions that improve Human Resources (HR) business processes and enhance the effectiveness of timekeeping services and...


Senior Application Developer Person360 & MDM

Highmark Health


Company : Highmark Health : JOB SUMMARY We are on a mission to deliver remarkable health experiences, freeing people to be their best. This requires an advanced 360 person-centered approach to deliver the right message, guidance, care, outcome, and experiences, all at the right time. This Sr...


Registered Nurse NICU 32N

Women and Infants Hospital


Job Summary: • • Registered Nurses are responsible for providing nursing care to patients in collaboration with families in accordance with the American Nurse's Association Standards of professional Nursing Practice. The Registered Nurse is expected to provide primary nursing care for patients, and...


Travel Radiology Tech Rad Tech Special Procedures Interventional Radiology

Epic Travel Staffing


Epic Travel Staffing is hiring a Travel - Special Procedures Tech Shift: Days / 8a-4p, 8x5, 40 hrs per week, On-call required Length: 13 weeks Requirements: • RI License • 1 year experience • BLS • ARRT R • CCI RCIS Other Details: • First-timers accepted • No floating • Locals accepted Special...


Senior Health Informatics Analyst - Remote

Prime Therapeutics


Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Senior Health Informatics Analyst - Remote Summary Design, document, develop and roll out financial,...