Senior Business Operations Analyst - Remote

City/State

Work Shift

Overview:

This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment.
Related experience will be in one of the following areas, operations, IT, or reporting.
Bachelor's Level Degree preferred.

• Bachelor's Degree (Preferred)

• No specific certification or licensure requirements

• Required to have three years of experience in related experience in operations, IT or reporting.
• Experience reporting on claims auditing
• Deep understanding of health plan operations
• Strong proficiency in SQL and data tools (e.g., Tableau, Power BI, SAS, Excel pivot tables)

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for full-time employment is: $ 60,756.80 - $ 101,254.40.  Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Keywords: claims processing, enrollment and eligibility, provider contracting and credentialing, health plan operations, Medicare, Medicaid, Marketplace, ACA, HEDIS, STAR, SQL, Tableau, claims audit reporting, QNXT, Facets, EPIC, HealthRules, EDI, CES, McKesson, JIRA, ServiceNow, SharePoint

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.