Contract Business Analyst- Hybrid in Philly up to 48/hour!

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Our client, a leading healthcare insurance organization, is seeking a contract Business Analyst to join their team. This individual will support critical claims operations initiatives, process improvement efforts, and cross-functional projects focused on enhancing the member experience and driving operational efficiency.

About the Job:

• Analyze and resolve medical claims processing issues and inquiries
• Perform root cause analysis to identify operational challenges and implement corrective actions
• Partner with internal teams and external health plans to resolve claims discrepancies
• Research incorrectly processed claims and coordinate solutions to ensure accurate resolution
• Identify opportunities to improve operational processes through technology, automation, and data analysis
• Support process improvement and project management initiatives across the organization
• Pull, analyze, and summarize large data sets to support business decisions
• Document business processes, workflows, and operational procedures
• Serve as a subject matter expert for claims operations in meetings, projects, and company initiatives
• Collaborate with cross-functional stakeholders to enhance claims processing efficiency and accuracy

About You:

• 4+ years of experience in medical claims processing, claims adjusting, healthcare administration, or a related healthcare operations environment
• Experience supporting automation, reporting, or technology-driven process improvements is highly preferred
• Experience working with medical billing and coding, including ICD-10, CPT, and HCPCS codes
• Advanced Microsoft Excel skills with the ability to analyze and manipulate large data sets
• Working knowledge of SQL and Microsoft Access
• Strong understanding of medical claims processing and healthcare operations
• Strong analytical and problem-solving abilities with a passion for process improvement
• Excellent written and verbal communication skills
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment

This contract position is expected to last at least six months with the possibility of converting to a permanent role. It will work hybrid schedule of three days onsite at the organization’s Philadelphia office and two days remote. It is paying up to $48/hour depending on experience. If you’re a healthcare operations professional who enjoys leveraging data, technology, and process improvement to solve complex claims challenges, we’d love to hear from you. Please apply today with a Microsoft Word version of your resume.

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