HCS Operations Inventory & Quality Analyst – Eligibility

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🕒 Março 22

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $61.300 - $73.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

⚙️ Operações

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BASF

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1865

🌾 Agricultura

Chemicals • Agriculture • Healthcare

Na BASF, criamos química para um futuro sustentável. Combinamos sucesso econômico com proteção ambiental e responsabilidade social. Cerca de 112.000 funcionários do Grupo BASF contribuem para o sucesso de nossos clientes em praticamente todos os setores e em quase todos os países do mundo. Nosso portfólio é composto por seis segmentos: Químicos, Materiais, Soluções Industriais, Tecnologias de Superfície, Nutrição & Cuidados e Soluções Agrícolas. A BASF gerou vendas de €68,9 bilhões em 2023. As ações da BASF são negociadas na bolsa de valores de Frankfurt (BAS) e como American Depositary Receipts (BASFY) nos Estados Unidos.

Descrição

• 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

🎯 Requisitos

• 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

🏖️ Benefícios

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