Sr Quality Business Analyst
The Senior Quality Business Analyst works collaboratively with business areas to ensure compliance with established metrics and adherence to policies and procedures. Through an auditing process, analysts identify areas of improvement, system inconsistencies and training opportunities.
Specific duties include, but are not limited to:
· Review and Audit transactions to ensure accuracy of workflow, adherence to policies and procedures and effectiveness of system processing.
· Provide timely documented feedback on issues identified at the processor and/or system level and execute escalation procedures as applicable.
· Identifies trends related to errors and examiners, and reports audit outcomes as needed to related business units.
· Review of more client facing workflows to ensure the best possible outcomes for all parties
Other responsibilities include:
· Tracks pended issues and makes recommendations for improvements.
· Continuously meet productivity and quality standards.
· Communicate effectively in writing and verbally within work groups, in addition to all internal and external customers.
· Support through assigned projects when appropriate or delegated by Management.
· Attend internal and external education training to achieve and maintain proficiency on all systems.
· Ability to understand regulations and/or required controls, and reference requirements in documentation.
Qualifications
· 4+ years relevant Operations or Quality Auditing experience.
· Associate degree or equivalent work-related experience; Bachelor’s Degree preferred.
· Effective time management, shown through the ability to prioritize deliverables and communicate realistic timeframes for resolution.
· Strong problem-solving skills, with a key attention to detail.
· Solid written and verbal communication skills.
· Proven competency with various business tools, such as Microsoft Excel, Word, PowerPoint, SharePoint, and Teams.
· Has working knowledge of the organization, processes, and customers.
· Ability to work independently and navigate multiple workstreams as needed achieve productivity standards.
· Passionate about producing high-quality deliverables.
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Inclusion and Belonging
At AmeriHealth, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At AmeriHealth, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
AmeriHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an AmeriHealth employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of AmeriHealth and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by AmeriHealth or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.