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Award-winning: Sentara is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!
Sentara is hiring for a Senior Business Operations Analyst – Remote!
Overview
This 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.
Related experience will be in one of the following areas, operations, IT, or reporting.
Bachelor's Level Degree preferred.
Education
- Bachelor's Degree (Preferred)
Certification/Licensure
- No specific certification or licensure requirements
Experience
- Required to have three years of experience in related experience in operations, IT or reporting.
- Experience reporting on claims auditing
- Deep understanding of health plan operations
- Strong proficiency in SQL and data tools (e.g., Tableau, Power BI, SAS, Excel pivot tables)
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for full-time employment is: $ 60,756.80 – $ 101,254.40. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Keywords: claims processing, enrollment and eligibility, provider contracting and credentialing, health plan operations, Medicare, Medicaid, Marketplace, ACA, HEDIS, STAR, SQL, Tableau, claims audit reporting, QNXT, Facets, EPIC, HealthRules, EDI, CES, McKesson, JIRA, ServiceNow, SharePoint
Sentara 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.
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