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Corvel Healthcare Corporation - East Hartford, CT

posted 3 months ago

Full-time - Mid Level
Hybrid - East Hartford, CT
1,001-5,000 employees
Professional, Scientific, and Technical Services

About the position

The Business Analyst II position at CorVel is a critical role within the Business Operations Team (BOT), focusing on documenting and implementing workflows and automation for proprietary system applications. The role involves collaboration with business stakeholders and software engineering teams to define requirements, create solutions, and automate business processes. The ideal candidate will possess strong analytical skills, attention to detail, and the ability to work under tight deadlines while ensuring quality outcomes.

Responsibilities

  • Work with team members, software engineers, and business stakeholders to gain expertise with bill review applications and their functionality in production environments.
  • Interact with business users, software engineers, technical staff, and state experts to identify, analyze, and implement requested enhancements.
  • Determine new opportunities for automation and increased quality controls in core products by collaborating with business stakeholders.
  • Follow team protocols for updating, recording, and organizing documentation.
  • Apply process and system knowledge to diagnose and resolve complex business problems.
  • Follow established escalation protocols for issues that may cause backlog of release expectations.
  • Acquire extensive business and system knowledge to support analysis and project research.
  • Identify, document, and communicate all issues discovered during analysis or project research.

Requirements

  • 5+ years of work experience in healthcare or medical/pharmaceutical industries.
  • Experience with broad-based, ancillary or PBM networks and their applications.
  • Demonstrated analytical problem-solving skills and technical aptitude.
  • Exposure to application development and project management fundamentals.
  • Ability to produce consistent, quality work under deadlines.
  • Strong communication skills with both technical and non-technical personnel.
  • Effective quantitative, analytical, and interpretive skills.
  • Advanced abilities in Microsoft Excel, Word, and Outlook; Project and Visio are a plus.

Nice-to-haves

  • Expertise with CorVel's claim system is preferred.
  • Experience with medical bill processing including CPT, ICD, HCPCS, NCPDP, and RBRVS coding schemas.
  • Experience with PPO network development, implementation, operations, or technology concepts.
  • Health industry and/or insurance billing experience is a plus; Property & Casualty work experience is preferred.
  • Familiarity with project management best practices and the creation of workflow documentation.
  • Experience with Power BI or other similar reporting/analytic tools.

Benefits

  • Medical (HDHP) with Pharmacy
  • Dental
  • Vision
  • Long Term Disability
  • Health Savings Account
  • Flexible Spending Account Options
  • Life Insurance
  • Accident Insurance
  • Critical Illness Insurance
  • Pre-paid Legal Insurance
  • Parking and Transit FSA accounts
  • 401K
  • ROTH 401K
  • Paid time off
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