Business Analyst, Enrollment And Premium Billing

CalOptima Foundation

Orange, CA, US
Base: $72,096 - $115,353; bonus/equity: not specif...
On-site
2 years experience in healthcare operations
Bachelor's degree in business or related field
Experience with covered california/aca exchange
This role supports the development and operationalization of Covered California enrollment and premium billing functions for CalOptima Health

Job Summary

  • This role supports the development and operationalization of Covered California enrollment and premium billing functions for CalOptima Health.
  • The position requires analyzing enrollment discrepancies, managing exception logs, and supporting grace period workflows across multiple systems.
  • Candidates will benefit from a comprehensive benefits package including CalPERS pension, generous PTO, tuition reimbursement, and professional development opportunities.

Matching Summary

This role supports the development and operationalization of Covered California enrollment and premium billing functions for CalOptima Health.

Salary

Base: $72,096 - $115,353; Bonus/Equity: Not specified; Benefits: CalPERS pension, PTO, tuition reimbursement

Skills & Requirements

Must-have

  • 2 years experience in healthcare operations
  • Bachelor's degree in business or related field
  • Experience with Covered California/ACA exchange
  • Knowledge of CalHEERS and EDI 834 transactions
  • System implementation and process improvement skills

Nice-to-have

  • Experience with Facets or QNXT administration systems
  • Proficiency in Jira, Confluence, ServiceNow, or Smartsheet
  • Background in managed care organization or IPA
  • Strong stakeholder collaboration and communication skills

Key Requirements

  • Bachelor's degree required
  • 2+ years healthcare operations experience
  • Experience with ACA exchange operations
  • Knowledge of CalHEERS and EDI concepts

Work Rights

Not specified

Tailored Resume

Cover Letter