Senior Business Analyst, Benefits Administrator
Remote, United States

It’s Time For A Change…

Your Future Evolves Here

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely – about 40% in year-over-year revenue growth in 2018. Are we recognized? Definitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019, and one of the “50 Great Places to Work” in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.

Who You’ll Be Working With:

Evolent Health is looking for a Business Analyst, Implementation to be a key team player within the Business Analyst team and be responsible for requirements management of the implementation work across our client and Evolent organizations. This individual will be responsible for building and managing reporting requirements for new and existing client implementations.

What You’ll Be Doing:

  • Define reporting requirements related to compliance, legislation and business operations in the following areas: claims, finance, customer service, provider data, member data, and client needs
  • Work closely with client and/or internal compliance team to ensure that compliance-related reporting requirements are resolved and/or handled appropriately to conclusion
  • Research and document compliance requirements and responses
  • Performs in-depth and complex research, fact gathering, analysis and interpretation of applicable laws and statutes pertaining to healthcare regulations and all other issues pertaining to business operations
  • Conducts interviews and information gathering, analyzes data and documents findings
  • Update internal documentation and processes as needed
  • Manage competing priorities and deliver quality information and analysis while adhering to deadlines
  • Perform requirements review with external and internal stakeholders and obtain sign off from all required individuals
  • Create and standardize business requirements documentation processes and workflows
  • Manage BRD deadlines with necessary tools for completion tracking and clearly identifying open items that need inputs from stakeholders
  • Collaborate and work closely with Client Partners, Project Managers and Evolent business teams
  • Identify issues upfront and communicate clearly to the management
  • Participates in the management of the sequencing of releases to meet business needs for enhancements, automations, and implementations
  • Ensures continuing operational support by documenting changes and enhancements
  • Provide training to staff on need basis and act as a mentor for new team members

The Experience You’ll Need (Required):

  • Extensive knowledge in health insurance third party administrator concepts related to compliance and business operations reporting needs in one or more of these programs: Medicaid, Medicare Advantage, Exchange and Commercial
  • Working knowledge of documenting data element requirements, rules pertaining to these data elements and applicable regulations outlined based on state and CMS guidelines
  • Strong communication and facilitation skills
  • Strong time management and organizational skills
  • Excellent interpersonal, oral, and written communication skills
  • Strong attention to detail and organization
  • Able to work independently and within a collaborative team environment with little guidance/supervision
  • 2+ years of computer skills, especially:  Word, Excel, Visio, Power Point, and SharePoint
  • 3+ years of experience leading projects and cross functional teams
  • Ability to successfully balance deadlines, projects, and day to day responsibilities

Finishing Touches (Preferred):

  • Associate or Bachelor’s degree preferred
  • Certified Business Analyst is strongly preferred, equivalent demonstrated business analysis experience
  • Extensive experience with the System Design Life Cycle (SDLC) or any other industry standard for implementations
  • Superior root cause analysis skills, including corrective action planning and ability to provide documentation to support analysis

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

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