Quartz Health Solutions

Business Analyst - Enrollment

Quartz Health Solutions  •  Madison, WI (Onsite)  •  1 day ago
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Job Description

Overview

Do you enjoy solving puzzles? Have you used an application and thought “There is a better way to do this”? Do you thrive on digging deep to find answers to challenging questions? Do you get energized working with others to find a great solution?

If so, please consider joining our Data & Technology Team as a Business Analyst – Enrollment and Premium Billing. In this role you will use experience and analytical expertise to design, build, and test software applications with a moderate to complex scope. This position will work with stakeholders to understand business unit activities, goals, and critical success factors that influence system applications and analyze and test solutions to ensure that business requirements have been met.

Benefits:

  • Full-time virtual, remote, work from home environment
  • Supportive team environment
  • Diverse work assignments, with just the right amount of challenge to foster individual growth and development
  • Ability to make a difference in a quickly growing, fast-paced organization
  • Excellent mentoring, learning and growth opportunities

Responsibilities

  • Utilizing advanced technical knowledge and operational experience, analyst works with stakeholders to define and document business processes and software requirements for technology initiatives.
  • Constructs documents for application design and workflows with moderate to complex scope.
  • Designs, builds, configures, and tests complex software and other database records, maintaining quality, accuracy and timeliness standards as set by department to ensure productivity and quality measures are met or exceeded.
  • Recognizes data inconsistencies and digs deep to find explanations; document root causes and make recommendations for change based upon findings. Performs financial impact analysis and plans for data remediation as required.
  • Supports a wide variety of operational departments including but not limited to Enrollment, Premium Billing and Collections, Customer Service, Group Records, Sales, Marketing, Underwriting and Distribution System Services. Applies business rules and concepts as well as technical knowledge from each of these to support cohesive end to end processes across all functional areas.
  • Support triaging issues that come to the team; provide customer with timely response; assign ticket to appropriate analyst timely. Provide timely support and resolution for assigned issues.
  • Participates in project teams as departmental subject matter expert and contributes with ideas and innovative approaches to enhance work processes and procedures. Reports updates and escalates issues and risks timely. Participates in cross-functional subgroups to ensure business needs are met.
  • Creates and maintains departmental policies and procedures; provide policy and procedure input to other areas of support when changes are implemented.

Qualifications

  • Bachelor’s Degree in Business Management, Computer Science, MIS, or technical focus with 2+ years of experience in prior support of systems including but not limited to health insurance claims adjudication, eligibility, provider contracts, provider enrollment, EDI, or benefit plans
  • OR Associate degree in in Business Management, Computer Science, MIS, or technical focus with 5+ years of experience in prior support of systems including but not limited to health insurance claims adjudication, eligibility, provider contracts, provider enrollment, EDI, or benefit plans
  • OR High school diploma or GED with 8+ years of experience in prior support of systems including but not limited to health insurance claims adjudication, eligibility, provider contracts, provider enrollment, EDI, or benefit plans
  • Advanced technical and operational experience
  • Proven experience in software design, configuration, and/or development
  • In-depth knowledge and practical experience in own business area, how it integrates with other areas and how they contribute to Quartz’s success
  • Applies industry knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform tasks and projects
  • Advanced Microsoft Office skills with development fluency in tools such as Business Objects, SQL, MS Management Studio, and MS Visio
  • Ability to work collaboratively and productively with other employees, vendors, and end users
  • Ability to interpret and explain complex technical concepts to non-technical stakeholders
  • Ability to solve problems and apply analytic thinking skills
  • Proven ability to manage multiple assignments simultaneously
  • Excellent organizational and interpersonal skills
  • Curiosity and interest in learning new software, systems, and tools

Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. Quartz is a federal contractor and supports a safe, drug-free workplace. All employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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Quartz Health Solutions

About Quartz Health Solutions

We believe that the health insurance industry should do far more than just provide access to doctors and cover or administer claims. We believe health care plans should help people live healthier. Which is exactly what makes us different. As a health plan management and administrative services company, we’re leading the charge on everything from expanding network physician and provider options to creating innovative approaches to wellness, prevention and community well-being. That’s because at Quartz, we’re a company committed to good health.

Beginning in mid-2017, Gundersen Health Plan, Unity Health Insurance and Physicians Plus joined forces under the Quartz brand name, with Advocate Aurora Health joining us in 2021. Together, we provide our members with high-quality service and affordable coverage.

We manage services for those health insurance plans as well as provide administrative services for self-funded health plans as Quartz ASO, while serving 350,000+ customers who live in southern, eastern and western Wisconsin, parts of Illinois, Iowa, and Minnesota from offices located in Onalaska and Fitchburg, Wisconsin.

For more information visit: QuartzBenefits.com.

Industry
Healthcare & Social Services
Company Size
501-1,000 employees
Headquarters
Fitchburg, Wisconsin
Year Founded
2016
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