BASF logo
BASF

We create chemistry for a sustainable future

HCS Operations Inventory & Quality Analyst – Eligibility

OperationsOperationsFull TimeRemoteSeniorTeam 10,001+Since 1865H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

84 days ago

Salary

$61.3K - $73K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglishSQL

Job Description

HCS Operations Inventory & Quality Analyst – Eligibility

BASF

• Work closely with the operations teams and data team to ensure inventory is accurately and efficiently distributed/assigned and transferred across teams based upon applicable inventory type workflow and requirements. • Conduct auditing of operations team activities on inventory to validate compliance with internal requirements, client contracts, regulatory requirements, and industry quality standards. • Facilitate communications and collaborate to convey/clarify requirements for inventory data flow based upon client/type/source serving as a liaison between the operations and eligibility & analytics data team. • Utilize SQL queries (and develop queries as may be needed) and leverage subject matter knowledge, independent judgement, and analytical skills to: Test data transfer/flow results. • Perform audit activity. Create and maintain regular internal/external activity and metrics reporting; and Other support for operations workflow and activity. Mentors operations team and data team on paper and electronic claims processes

Job Requirements

  • Bachelor’s degree in relevant field, or equivalent combination of education and experience
  • At least three (3) years of directly related progressive experience (claims, billing, eligibility, Medicaid/Medicare, etc.)
  • Minimum two (2) years relevant experience demonstrating ability to work with large volumes of healthcare eligibility or client data, including data reporting, modeling, and analysis.
  • Minimum 1 year of relevant experience in role(s) with responsibility for applying subject matter expertise to operations workflow
  • Knowledge and experience with rules around Medicaid / Medicare COB Other TPL business models and products
  • Skilled working with operations systems, tools, and applications for collecting and reporting data as well as identifying trends.
  • Intermediate skills in MS Excel required.
  • Utilization of SQL to run queries.
  • Ability to develop basic queries a plus.
  • Strong general system and application skills with ability to quickly develop expertise in new systems and applications.
  • General knowledge of 270/271, 834, 277, 837, 835 highly desired
  • Familiarity with JIRA a plus
  • Professional verbal and written communication with good presentation skills

Benefits

  • medical
  • dental
  • vision
  • HSA/FSA options
  • life insurance coverage
  • 401(k) savings plans
  • family/parental leave
  • paid holidays
  • paid time off annually

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