Job Description
Description
We are looking for a business process analyst to support Risk Adjustment Data Validation activities within a highly regulated health insurance environment. This long-term contract position focuses on strengthening audit operations through careful review of member, enrollment, and claims-related information while helping maintain compliance and reporting accuracy. Based in Minnesota, but able to work fully remote, this opportunity is well suited for a detail-focused analyst who can manage complex data issues, coordinate with cross-functional partners, and contribute to successful audit execution in a remote work setting.
Responsibilities:
• Manage and refine Excel-based trackers, audit logs, and supporting documentation to keep project records accurate and current.
• Examine demographic, eligibility, and enrollment information to identify errors, confirm completeness, and support audit preparedness.
• Assess medical, pharmacy, an...
We are looking for a business process analyst to support Risk Adjustment Data Validation activities within a highly regulated health insurance environment. This long-term contract position focuses on strengthening audit operations through careful review of member, enrollment, and claims-related information while helping maintain compliance and reporting accuracy. Based in Minnesota, but able to work fully remote, this opportunity is well suited for a detail-focused analyst who can manage complex data issues, coordinate with cross-functional partners, and contribute to successful audit execution in a remote work setting.
Responsibilities:
• Manage and refine Excel-based trackers, audit logs, and supporting documentation to keep project records accurate and current.
• Examine demographic, eligibility, and enrollment information to identify errors, confirm completeness, and support audit preparedness.
• Assess medical, pharmacy, an...