Configuration Business Analyst

Remote

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$105,000 – $115,000Compensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Candidates must possess a Bachelor's degree in Healthcare, Business, Computer Science, or Mathematics, along with 5+ years of experience with core platform systems in a health plan, TPA, or healthcare-related setting. Preferred experience includes Health Rules Payer, provider data, and network configuration, as well as hands-on experience with health plan building, benefits configuration, and system administration. Strong analytical skills, proficiency in data analysis tools like Excel, PowerPoint, and SQL, and familiarity with healthcare operations, regulations (HIPAA, CMS, ACA), and project management tools are essential. Excellent communication and problem-solving skills are also required.

Responsibilities

The Configuration Business Analyst will act as a subject matter expert for provider data and claims platforms, troubleshooting and resolving system issues, and implementing enhancements. Responsibilities include gathering and documenting system requirements, conducting gap analyses, ensuring data integrity through audits and validation, and developing test plans. The role involves collaborating with technical teams and business users, providing end-user training, supporting system upgrades and implementations, and managing system-related projects to ensure timely delivery within scope and budget.

Skills

Platform Configuration

Claims Platforms

Provider Data

System Analysis

System Enhancement

Business Analysis

Requirements Gathering

Functional Specifications

Gap Analysis

Data Integrity

Data Quality Assurance

Audit

Validation

Test Plans

System Documentation

Technical Support

End-User Training

Centivo

Affordable health insurance with primary care focus

About Centivo

Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.

Buffalo, New YorkHeadquarters

2017Year Founded

$183.7MTotal Funding

DEBTCompany Stage

Financial Services, HealthcareIndustries

201-500Employees

Benefits

Insurance: Medical, dental, vision, life & diability

401k plan

Access to a health savings account

Commuting and dependent care FSA

Competitive salary, bonus, & equity

Risks

Integration challenges with Eden Health may disrupt service delivery if not managed well.

Chronic shortages in primary care access could impact Centivo's care delivery model.

Increased competition from AI-driven startups may challenge Centivo's market position.

Differentiation

Centivo emphasizes primary care partnerships to coordinate healthcare needs effectively.

The company offers free primary care, no deductibles, and low, predictable copays.

Centivo integrates virtual care and mental health services for comprehensive healthcare solutions.

Upsides

Centivo raised $75M to expand affordable health plans amid rising U.S. healthcare costs.

Acquisition of Eden Health enhances Centivo's virtual care and mental health services.

Growing trend of virtual care aligns with Centivo's integrated virtual care service.

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