EDA CORE Business Analyst

Job Description

 

The EDA CORE Business Analyst (BA) will be a part of a fully remote team supporting dispute processing and analysis for reconciliation of data from the health insurance exchanges.

 

The Analyst is responsible for coordinating business objectives, reviewing presentation materials and metrics, delivering content, analyzing data, quality control of deliverables, research of complex issues, and communication with internal and external customers.

 

The Business Analyst will also be responsible for continuous process improvement of the reconciliation process. He/she will provide content to and for collaboration with training staff on training stakeholders on triaging transactions and the reconciliation process. The Business Analyst will also be responsible for responding to ad-hoc requests from multiple stakeholders.

 

Key Responsibilities:

• Data Analysis and Process Improvement
• Identifies, documents, and analyzes discrepancies and anomalies within EDA datasets,
• Conducts data validation to confirm data loads and report calculations
• Acts as a data SME and data validation tester and coordinates with the Product Owner and developers
• Develops a deep understanding of the business rules, and leverages that knowledge to improve processes, recommend solutions, enhance team performance, and drive progression of client objectives
• Supports and leads EDA CORE process improvements
• Collaboration
• Explains complex technical issues in terms that a non-technical person can easily understand
• Acts as a data SME to help answer internal and external data questions
• Coordinates with external teams to support reporting, process updates, issuer and client questions, and more
• Prepares and validates reports and presentations, including dispute metrics, team performance, and topics related to issuer performance
• Content Development
• Create and update existing documentation such as data dictionaries, report glossaries, canned query lists, etc.
• Communicates effectively with internal and external clients, including the ability to speak to large audiences and present on webinars

 

Required minimum qualifications:

• Bachelor’s Degree or equivalent OR 4 years relevant experience in lieu of degree.
• Experience analyzing data and presenting to stakeholders.
• Must be a US Citizen

 

Candidates that do not meet the required qualifications will not be considered.

 

Preferred qualifications:

• Demonstrated problem-solving, and critical thinking skills
• Demonstrated breadth and depth of experience regarding data analysis/reconciliation
• Demonstrated relationship building and self-managing skills
• Ability to thrive in a fast paced, ever-changing work environment
• Ability to manage and deliver multiple tasks with focus on quality and completeness
• Ability to proactively identify and implement process improvements
• Experience with SQL, Power BI, or other reporting tools 
• Experience in Finance or Health Care
• Experience with Affordable Care Act
• Self-driven learner
• Strong analytical capabilities to understand data sets to derive business conclusions while identifying anomalies based on business rules
• Experience with EDA CORE
• Understanding of EDA datasets (such as the FFM Extract, RCNO, HICS cases, etc.)