Title: Business Analyst 

Client: Health Insurance

Location: On-site 3 days per week in Philadelphia PA

Type: Contract to hire



The Senior Business Analyst develops and ensures accurate set-up of medical and claim payment policies in accordance with business requirements. The Senior Business Analyst reviews claims data and trends to determine if system enforcement is appropriate or requires adjustment, as well as identifying areas of improvement, system inconsistencies and training opportunities.







DUTIES AND RESPONSIBILITIES:



· Develop policy enforcement requirements based on medical and claim payment policy criteria. Types of enforcement include but are not limited to claim system, prior authorization, desk level procedures, and post-payment review.



· Collaborate with internal business colleagues...