Job Description
Senior Analyst, Business Project_Membership & Billing
Senior Analyst- Business Project_ Membership & Billing
Who are we?
Versant Health is one of the nation's leading administrators of managed vision care, serving over 35 million of our clients' members across the United States. Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use vision solutions rooted in choice value, and care, we believe that everyone has the power to become anything they set their sights on.
See how you can make a difference with the support of strong leadership and a team environment.
Versant Health: Making Healthy Vision a Reality for Everyone
What are we looking for?
The Senior Business Analyst collaborates with the Billing and Enrollment team in the analysis, development, and implementation of processes for new corporate initiatives, projects, regulatory and audit initiatives, and process improvement related to routine department or corporate activities.
Where you will have an impact
• Evaluate new projects, initiatives, or departmental processes in need of improvement to create a detailed business analysis, outlining problems, opportunities and solutions for improved business administration
• Evalute departmental interactions with other teams to support requirements building for new initiatives or recommended changes
• Complete analytical review of customer enrollment and billing challenges as it relates to receivable balances due and discrepancy analysis needed.
• Oversee documentation and training for the department leads related to the development of new processes and procedures as required
• Lead any new system implementations, upgrades, and/or analysis to support the Enrollment and Billing team, ensuring department needs are met for the administration of team roles in supporting our customers
• Create requests, test, and implement programming changes for system enhancements, upgrades, etc.
• Act as a point person for Enrollment and Billing related to needed process changes and improvements; Represent and maintain department interests in those initiatives to ensure continued and improved service to our customers
• Identify, analyze and develop opportunities for enhancements to workflows and processes, as well as quality improvements/review for the department
• Perform data analysis and reporting functions related to Membership & Billing activities
• Field technical questions and inquiries from Membership & Billing Associates, other departments, and vendors
• Analyze and evaluate the current business processes that exist for our Enrollment and billing teams and identify areas of improvement.
• Analyze our EDI processes to identify, document and seek completion of improvement initiatives to increase customer support
• Monitor PG results to identify any failed PG’s and identify route cause to determine if business processes or IT support received have process challenges that need modification or attention
• Collaborate with the IT area to complete thorough testing of new and modified processes, software, and other system-oriented transaction sets
• Partner and integrate processes with other operational areas as it pertains to Billing, Collections, Accounts Receivable, and Premium Posting
• Support all established SOC controls in accordance with defined expectations, monitoring weekly to ensure proper completion of tasks and retention of evidence of controls is completed, reviewing and confirming controls completion on a monthly basis
• Develop and maintain effective business relationships with all clients and internal departments
• Adhere to all federal, state, and local regulations, company policies and procedures, and instructions, including guarantees, regulations, and commitments to Clients
• Adhere to privacy, confidential, and proprietary company policies and procedures (i.e. HIPAA)
• Participate in any training and educational activities necessary to fulfill at least the minimum requirements as specified within your departmental goals, in addition to the completion of any activities necessary for the maintenance of professional affiliations or organizational requirements
• Travel to vendor and Versant office approximately 5% of work time
• Complete additional responsibilities as required by changing business needs
What’s necessary to do the job?
• 3+ years of experience in the managed care or health insurance industry, with a working knowledge of Operational Departments such as Eligibility, Premium Billing, Collections, Customer Services, or Claims required
• 3+ in a project role in a health insurer setting, including demonstrated experience in project work, requirements definition, testing, process improvement required
• 3+ years of experience in the administration of membership/EDI enrollment transactions, and billing data processing required
• 3+years of experience with billing, accounts receivable, discrepancy management and collections functions required
• Direct client interface experience required
Proficiency in Microsoft Office with experience in Excel sorting, queries, formulas, and charts required
HIPAA & Security Requirements
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.
Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.
Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.
We offer a comprehensive and competitive total rewards package designed to support your health, financial well being, and work life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.
Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members’ lives with easy-to-use vision solutions rooted in choice, value, and care, Versant Health believes that everyone has the power to become anything they set their sights on.
Our team is guided by core Leadership Principles—Perspective, Care, Drive, and Ownership—which shape how we work, lead, and grow together.
Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing clear direction, optimizing resources, enabling innovative solutions, and driving meaningful results.
