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Senior Business Analyst (Choice)

Overview

The Senior Business Analyst is crucial for payment integrity reporting and needed analytics to assist with recoupments and payments of claims. Responsibilities also include: provides analytical, planning, coordination, and implementation support to performance improvement activities and projects across VNSNY CHOICE Health Plans. Assists department leadership with tracking implementation, monitoring organizational change effectiveness, designing analytical approaches, as well as data collection and analysis, report writing, and process mapping.


Responsibilities

-Develops a strong understanding of all VNSNY CHOICE Health Plans strategic business objectives and business unit operations.  Assists department with articulating business issues and designing project approaches. Provides data collection, analytical support to team and monitors assigned projects.

-Defines core processes and maps current states for redesign projects; assists with solution design.  Provides facilitation support at meetings as required. Develops trusting relationships with leadership across VNSNY.

-Collects and analyzes performance and financial data.  Summarizes, creates, and distributes reports as needed.  


Qualifications

Requirements:

  • Excellent skills running reports in sequel database to perform analytics on claims processed for payment or denial
  • Claims processing experience and familiarity with Medicaid, Medicare lines of business
  • Facets experience or similar claims processing platform working with claims data
  • Proficiency in explaining data findings from analytics reporting

Education:  Bachelor’s Degree in Business, a related discipline, or the equivalent work experience required.  Master’s Degree in Business Administration, Public Administration or related field preferred.

Experience:  Minimum three years progressive experience in consulting, operations or financial analysis, or related discipline required.  Proficient with personal computers, including Microsoft Windows Excel, Word, Access, Power Point required.  Project management and facilitation skills required.


ABOUT US

The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based health care organization, serving the five boroughs of New York City, and Nassau, Suffolk, and Westchester Countries. For over 125 years, VNSNY has been committed to improving the health and well-being of people through high-quality, cost effective healthcare in the home and community. We offer a wide range of services, programs, and health plans to meet the diverse needs of our patients, members, and clients from before birth to the end of life. Each day, more than 13,000 VNSNY employees - including nurses, rehabilitation therapists, social workers, other allied professionals, and paraprofessionals - deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to more than 44,000 patients and members, helping them to live the best lives possible in their homes and communities.