Note: The job is a remote job and is open to candidates in USA. KMM Technologies, Inc. is seeking a Functional Analyst to optimize healthcare insurance claims operations through business requirements analysis, performance studies, metrics development, and process improvement. The role also involves preparing operational reports, maintaining guidelines, evaluating technologies, and leading and mentoring lower-level analysts.
Responsibilities
- Assesses adequacy of current processing operations by identifying and analyzing business requirements and operations; conducting performance studies; interviewing and conferring with operations personnel
- Determines processing performance measures by identifying key business metrics; conducting benchmarking initiatives; developing and calibrating analytical, comparing operational models
- Contributes to processing and organization success by welcoming related, different, and new requests; helping others accomplish job results. Lead and mentor lower level Analysts
- Identifies opportunities for processing operational improvements by analyzing current operations; preparing cost/benefit analyses; developing business cases; recommending process improvement priorities
- Supports process improvement programs by providing continuing measurements, analyses, and recommendations; developing new business models; identifying low-cost designs, materials, processes, and sources; evaluating new technologies
- Maintains processing operations guidelines by writing and updating policies and procedures
- Prepares processing operations analysis information and reports by collecting, analyzing, and summarizing data and trends
Skills
- Education Level: Bachelor's Degree
- Education Details: Business Administration or related field
- Experience: 4 years progressive experience as a Functional Analyst OR 6 years experience in (level 2 or above) operational role
- In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
- Highly proficient in Microsoft Office and similar applications, Expert
- Ability to create graphics and report to non-technical audiences., Expert
- Self-starter and ability to collaborate in a team environment., Expert
- Excellent communication skills both written and verbal., Expert
- Demonstrates necessary leadership attributes to lead projects while keeping operational leadership informed. , Advanced
- Knowledge about 834 file layout, data analyzing, testing, expert in excel, good communication skills
- 10+ years experience in an operations role preferred
Benefits
- Remote work arrangement
Company Overview
Company H1B Sponsorship