Business Consultant Sr- Data Mining Overpayment and Operations/Payment Integrity- WGS Claims

About the role

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Responsibilities

• Provides expertise to lower-level consultants on the analysis of business needs to determine optimal means of meeting those needs.
• Determines specific business application software requirements to address the most highly complex and varied business needs.
• Will lead a team of analysts assigned to the most complex projects, typically those of highest importance and impact to the way in which we do business.
• Analyzes and designs solutions to address varied and highly complex business needs.
• Partners closely with data scientists, query developers and business owners in the execution of machine learning models by providing feedback during various phases.
• Manages and prioritizes work assignments based on business needs.
• Travels to worksite and other locations as necessary.

Requirements

• Requires a BA/BS and minimum of 10 years business analysis experience, which should include analysis, project management, working knowledge of mainframe computer, hardware and operating systems; minimum of 3 years experience as a Business Consultant with project management skills; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills

• Machine learning understanding and experience
• Strong analytical and problem-solving skills with research-oriented approach
• Strong written, verbal and interpersonal communication skills
• Advanced skill level with MS Excel; pivot tables, formulas, V-lookup, etc.
• Strategic thinking and collaboration skills
• Claims processing skills

Benefits

• Medical
• Dental
• Vision
• Short and long term disability benefits
• 401(k) +match
• Stock purchase plan
• Life insurance
• Wellness programs and financial education resources

Pay

Compensation details are confidential and will be provided upon successful completion of the hiring process.

Schedule

Shift: Monday – Friday Daytime hours