Senior Business Analyst - OPS - Remote

Company: Sentara
Location: Virginia Beach
Posted on: March 9, 2023

Job Description:

City/StateVirginia Beach, VAOverviewWork ShiftFirst (Days) (United States of America)Sentara Health Plan is currently hiring anSenior Business AnalystFor Optima Health!This is aFull Timeposition with day shift hours and great benefits!Remote opportunities available in the following states: Virginia, North Carolina, Florida, Nevada, Wyoming, South Dakota, Washington and Indiana, Georgia, South Carolina, Tennessee, Texas, West Virginia, Wisconsin, Maryland.This position is responsible for:

• Implementation and support of quality initiatives within assigned areas.
• Provides subject matter expertise related to quality initiative implementation, reporting and analysis
• Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices
• Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment.Job Requirements:
  • Bachelor's Level Degree
  • Required: 3 years related experience inoperations, IT, Project Management, and or reporting.
  • Required: Advanced Excel Skills, Microsoft Office Suite proficiency
  • Preferred Qualifications: coding experience, programming languages such as Python or SQL, Six Sigma CertificationSentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.With more than 30 years' experience in the insurance business and 20 years' experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services - all to help our members improve their health.Job SummaryThis position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment.Qualifications:BLD - Bachelor's Level Degree (Required)RelatedSkillsCommunication, Complex Problem Solving, Critical Thinking, Judgment and Decision Making, Microsoft Excel, Operations Analysis, Systems AnalysisSentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.In support of our mission "to improve health every day," this is a tobacco-free environment.

Keywords: Sentara, Virginia Beach , Senior Business Analyst - OPS - Remote, Professions , Virginia Beach, Virginia