Functional Analyst I

Purpose

Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.

Essential Functions

• 50% Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause, recommending and facilitating resolution.
• 20% Supports operations systems by providing operating information to customers; answering questions; providing training.
• 20% Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation.
• 5% Verifies operations systems by developing testing methods; conducting and documenting tests.
• 5% Improves operations analysis job knowledge by attending training sessions; reading technical publications.

Qualifications

• Education Level: Bachelor's Degree
• Education Details: Business Administration
• Experience: 2 years experience in (level 2 or above) operational role.

Skills

• Enrollment
• Payment falls
• Onboarding TPA (Third Party Administrator)
• Driving issues to resolution
• Identifying potential issues
• Credit card payment issues
• Onboarding TPA
• Microsoft Office Suite Excel - medium to strong skills (pivot tables, running queries)
• EDI transactions (834/820) - highly preferred
• Facets - a plus
• Prior experience with enrollment (group or individual member enrollment)
• Financial reconciliation - 820 files / payment falls from vendors

Preferred Qualifications

• Ability to recognize, analyze, and solve a variety of problems.
• Proficient High proficiency in Microsoft Office and similar applications.
• Proficient Organized, detail-oriented while meeting strict deadlines.
• Proficient Excellent communication skills both written and verbal.
• Proficient Demonstrate ability to work independently.

Incumbent Requirements

• The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs.
• Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence.
• Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Ampcus is an Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.