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Position Applying For:Business Analyst II

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  • Business Analyst II  | USA-NC-Durham  |  | 14-APR-21 
    Utilizing expert functional/technical area knowledge of and global expertise in Healthcare domain with relevant systems/applications such as Facets/PowerMHS.
    
Your role will function as act as an Auditor validating contracts for large groups, state health plans with respect to membership, benefits configuration fulfillment etc.
    

    
Responsibilities
    
• Ensures compliance with established internal control procedures by examining records, reports, operating practices, and documentation.
    
• Completes audit work papers by documenting findings as per defined processes.
    
• Appraises adequacy of internal control systems by completing audit checklist. Communicates audit findings by preparing a checklist; discussing findings with auditees
    
• Contributes to team effort by accomplishing related results as needed
    
• Identify loopholes and recommend risk aversion measures and cost savings
    
• Engage to continuous knowledge development regarding sector’s rules, regulations, best practices, tools, techniques and performance standards
    
• Troubleshooting and analyzing to determine root cause of issues,
    
 

    Qualifications

    Qualifications,
    
Minimum skills
    

    
• 5+ years of Experience in Healthcare Insurance Industry
    
• Strong knowledge & Work Experience in the area of Benefits Configuration, Enrollment and Membership etc.
    
 Good PC skills with MS Word, Excel and PowerPoint.
    
 Focus on accuracy and attention to detail.
    

    

    
Preferred Skills
    
 Demonstrated facilitation skills that include workgroup leadership and/or problem resolution across multiple groups.
    
 Excellent oral and written communication skills.