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Enrollment Business Analyst

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities:

The Enrollment Business Analyst is primarily responsible for the development and maintenance of business requirements, business rules, and operational processes for the Enrollment department. This includes documenting and analyzing business processes, policies, and creating actionable reports for plan leadership. The responsibilities of the position include:

  • Write clear and well-structured business requirements and documentation.
  • Elicits, documents, analyzes, communicates, and validates requirements concerning member enrollment processes.
  • Develops recommendations for improving the efficiency and performance of processes.
  • Provides oversight for existing and new programs/initiatives as assigned by management.
  • Conducts root cause review of issues and recovery action steps.
  • Researches and coordinates responses to various reports and audits.
  • Analyzes the needs of the organization with the commitment to design and implement solutions that best support the needs of the business.
  • Perform data discovery and review for various departmental reporting and analysis.

Education/ Experience:

  • 3 to 5 years of previous business analysis or system analysis experience in an operations environment.
  • Bachelor’s Degree or equivalent experience required.
  • Experience defining problems, collecting data, establishing facts, and recommending solutions.
  • Ability to translate technical concepts & information to non-Technical Stakeholders.
  • Strong analytical skills and attention to detail.
  • Healthcare experience strongly preferred.
  • Proficient in MS Office software (Word, Excel, Powerpoint).
  • Requirement writing experience preferred.
  • Microsoft Access and/or SQL query experience preferred.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

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