Job Description
We are looking for a meticulous and analytical Business Analyst to oversee the management of third-party vendors. This role will be responsible for analyzing vendor performance, identifying cost-saving opportunities, and is critical in ensuring vendor compliance with contractual, regulatory, and operational standards. The ideal candidate will bring strong analytical skills, audit/claims experience, and a collaborative mindset to support risk mitigation and performance improvement across the vendor landscape.
- Key Responsibilities:
- Analyze audit findings and vendor performance data to identify trends, risks, and improvement opportunities.
- Data extraction & Analysis
- Regulatory Reporting & KPI Development
- Serve as a liaison between vendors and providers to resolve issues and improve service delivery.
- Track and evaluate vendor performance using KPIs and SLAs.
- Conduct regular vendor reviews and audits to ensure compliance and quality standards.
- Evaluate vendor adherence to Business Associate Agreements (BAAs), SLAs, and quality standards.
- Recommend enhancements to vendor audit frameworks, tools, and documentation practices.
- Contribute to the development of policies and procedures for vendor oversight and governance.
- Support continuous improvement initiatives in vendor lifecycle management.
- Maintain documentation of audit procedures, findings, and follow-up actions.
- Contribute to the development of vendor audit policies and workflows.
- Preferred Skills:
- Knowledge of Databricks
- Knowledge of SQL
- Experience in regulated industries (e.g., healthcare, finance, insurance).
- Experience and/or knowledge of medical coding and inpatient auditing
- Education
- Bachelor's Degree (Required)
- Certification/Licensure
- No specific certification or licensure requirements
- Experience
- 3+ years of relevant experience in business analysis, data reporting, or analytics (Required)
- Must have 3+ years of experience in business analysis, auditing, claims, vendor management, or compliance.
- Knowledge of business intelligence (BI) tools, SQL querying, and reporting software.
- Required to have experience working with health insurance, claims data, and auditing claims data
- Excellent written and verbal communication skills.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$53,476.80-$89,128.00. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
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