Note: The job is a remote job and is open to candidates in USA. Voto Consulting LLC is seeking an ASO Business Analyst to support administrative services-only health plan operations. The role focuses on gathering requirements, documenting and configuring benefits, supporting pricing and underwriting, managing stop-loss requirements, structuring risk-sharing programs, and contributing to network strategy and product development.
Responsibilities
- Gather requirements, create documentation, support benefit configuration, and translate business needs into actionable implementation requirements
- Prior TPA or self-funded health plan experience is strongly preferred
- Support pricing and underwriting activities for administrative services arrangements
- Develop and evaluate PEPM pricing models, implementation charges, and network access costs
- Manage stop-loss requirements, including placement, administration, and overall strategy
- Structure shared-savings programs and various risk-sharing arrangements
- Define performance guarantees and service-level expectations
- Contribute to ASO network strategy, design, and development of new product offerings
Skills
- Prior TPA or self-funded health plan experience
Benefits
- REMOTE
Company Overview
Company H1B Sponsorship