Robert Half - Oxnard, CA
posted 4 months ago
About the position
We are offering a contract to hire employment opportunity for a Senior Business Analyst in the Healthcare, Hospitals, and Social Assistance industry. The Senior Business Analyst is based in Oxnard, California and will function in a hybrid working environment. This role involves various aspects of business analysis, working closely with client providers and management company staff. The Senior Business Analyst will monitor the daily operations of the department, ensuring that workflows, turnaround times, production levels, and staffing needs are maintained within budgetary and business planning guidelines. In this position, the Senior Business Analyst will compile and analyze monthly enrollment data to provide accurate enrollment schedules to various departments, including Financial Analysis, Accounting, and Provider Contracting. They will also prepare, analyze, and monitor eligibility reconciliations to ensure that all exceptions and rejected data have been researched and updated. Additionally, the analyst will assist in ensuring that programming changes are requested, justified, and implemented properly for the business unit's eligibility manager software. The role requires calculating and preparing client provider capitated payments monthly in line with contract timelines and requirements. Effective and professional communication of results, challenges, and solutions will be essential through daily interactions and regular reports with management. The Senior Business Analyst will also create and monitor standard reports to identify anomalies and/or trends that may impede appropriate revenue capture.
Responsibilities
- Monitors the daily operations of the department including all workflows, turnaround times, production levels, and staffing needs within budgetary and business planning guidelines.
- Compiles and analyzes monthly enrollment data to provide accurate enrollment schedules to various departments including Financial Analysis, Accounting, and Provider Contracting.
- Prepares, analyzes, and monitors eligibility reconciliations to ensure that all exceptions and rejected data have been researched and updated.
- Assists and ensures that programming changes are requested, justified, and implemented properly for the business unit's eligibility manager software.
- Calculates and prepares client provider capitated payments monthly in line with contract timelines and requirements.
- Effectively and professionally communicates results, challenges, and solutions through daily interaction and regular reports with management.
- Creates and monitors standard reports to identify anomalies and/or trends impeding appropriate revenue capture.
Requirements
- Proven experience in a Business Analyst role within the Healthcare, Hospital, or Social Assistance industry.
- Proficiency in Office Functions and SQL programming for data analysis.
- Comprehensive understanding of Payment Processing, Reconciliations, and Finance.
- Experience in Human Resources (HR) Administration and Staffing.
- Knowledge of Workstation Support and Monitoring Tools.
- Ability to develop and execute Business Plans in alignment with the Business Unit's goals.
- Proficient in Financial Analysis, Variance Analysis, and Revenue Accounting.
- Familiarity with the Health Care sector and ability to drive Innovation within it.
- Experience in Training staff and partners, fostering Collaboration within teams.
- Ability to manage Daily Operation and Production timelines.
- Excellent proficiency in the 'About Time' software.
- Strong understanding of the healthcare industry's legal and ethical guidelines.
Benefits
- Medical insurance
- Vision insurance
- Dental insurance
- Life insurance
- Disability insurance
- 401(k) plan
