Job Description

The Enrollment Data Alignment CERRS Operations Reporting Environment (EDA CORE) Business Analyst (BA) will be a part of a fully remote team on the ER&R/1095-A program, supporting dispute processing and analysis for reconciliation of data from the health insurance exchanges.

The BA 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 BA will also be responsible for continuous process improvement of the reconciliation process. They 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, primarily 834 data
• Conducts daily validation for various reports
• 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 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 weekly reporting with a primary focus on X12 834 transactions
• Prepares and validates reports and presentations, including dispute metrics, team performance, and topics related to issuer performance
• Content Development
• Create, update and support various documentation efforts
• 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, Snowflake, or other tools  
• Experience in Finance or Health Care
• Experience with Affordable Care Act
• Self-driver 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 FFM Extract, RCNO, etc.)
• Experience reading and analyzing the 834 X12 transaction data, especially within the Marketplace

Qualifications

Compensation Ranges

Compensation ranges for ASM Research positions vary depending on multiple factors; including but not limited to, location, skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique to each role. Monetary compensation is one component of ASM's overall compensation and benefits package for employees.

EEO Requirements

It is the policy of ASM that an individual's race, color, religion, sex, disability, age, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.

All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, disability, or age. All decisions on employment are made to abide by the principle of equal employment.

Physical Requirements

The physical requirements described in "Knowledge, Skills and Abilities" above are representative of those which must be met by an employee to successfully perform the primary functions of this job. (For example, "light office duties' or "lifting up to 50 pounds" or "some travel" required.) Reasonable accommodations may be made to enable individuals with qualifying disabilities, who are otherwise qualified, to perform the primary functions.

Disclaimer

The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.