Business Analyst

javacareers.ai

Base: $180,000-$195,000; bonus/equity: not specifi...
Not specified
6-10+ years business analyst experience
Provider network operations expertise
Care management program analysis
javacareers.ai is seeking an experienced Business Analyst with a strong background in Provider Network management and Care Management programs within the healthcare sector. The ideal candidate will have 6-10+ years of experience, focusing on improving operational efficiency and clinical outcomes while working collaboratively across various teams

Job Summary

  • The role requires deep knowledge of healthcare payer operations and end-to-end care management workflows to improve clinical outcomes and operational efficiency.
  • Candidates will act as a liaison between business users and technical teams to analyze provider network operations including contracting, credentialing, and directory management.
  • The position offers competitive compensation ranging from $180,000 to $195,000 along with comprehensive benefits including health insurance and parental leave.

Matching Summary

Match Score: 85

javacareers.ai is seeking an experienced Business Analyst with a strong background in Provider Network management and Care Management programs within the healthcare sector. The ideal candidate will have 6-10+ years of experience, focusing on improving operational efficiency and clinical outcomes while working collaboratively across various teams.

Salary

Base: $180,000-$195,000; Bonus/Equity: Not specified; Benefits: Health, dental, vision, life, disability, 401(k), 12 weeks parental leave, free time PTO

Skills & Requirements

Must-have

  • 6-10+ years Business Analyst experience
  • Provider network operations expertise
  • Care management program analysis
  • BRD and FRD documentation skills
  • Payer systems and workflows knowledge

Nice-to-have

  • HEDIS, Stars, Risk Adjustment experience
  • FHIR-based integration familiarity
  • CBAP or PMI-PBA certification
  • Strong stakeholder communication skills
  • Digital health transformation exposure

Key Requirements

  • 6-10+ years of healthcare Business Analyst experience
  • Experience with provider contracting and credentialing
  • Knowledge of CMS, NCQA, and state mandates
  • Proficiency in SQL, Excel, or BI tools
  • No immigration sponsorship available

Work Rights

Not specified

Tailored Resume

Cover Letter