Nov 21, 2024
Business Analyst – (Health Claims Project)
สถานที่ปฏิบัติงาน
MRT Sutthisan
เงินเดือนNegotiable
อัตรา1
Hybrid Work สมัครงาน
Job Descriptions
• Requirement Gathering & Documentation: Work with stakeholders to gather and
document business requirements for health insurance claims processing.
• Claims Process Optimization: Analyze existing health claims workflows, identifying
bottlenecks, inefficiencies, and areas for improvement. Propose solutions to streamline
claims adjudication, payment, and denial management processes.
• Data Analysis: Extract and analyze claims data to uncover trends, improve accuracy,
and optimize decision-making. Generate reports and dashboards to provide insights to
senior management on claims performance.
• System Implementation & Support: Work closely with the IT team to implement claims
processing systems, enhancements, or new software platforms. Validate the system
functionality aligns with business needs and ensure smooth integration.
• Testing & Quality Assurance: Assist in developing and executing test plans to ensure
that claims processing systems meet functional and business requirements. Validate
accuracy in claims adjudication, pricing, and payment.
• Stakeholder Collaboration: Serve as a bridge between business teams and technical
teams to ensure that system solutions are effectively aligned with business needs.
Regularly interact with medical billing teams, claims processors, and third-party
administrators.
Qualifications
- Bachelor’s degree in business administration, Information Technology, or related field.
- 3-5 years of experience as a Business Analyst in the health insurance sector, with a specific focus on claims processing.
- Strong knowledge of health claims processes, including eligibility checks, claims adjudication, and payment processes.
- Proficiency in business analysis tools (e.g., Microsoft Excel, Visio, JIRA, Confluence).
- Experience with data extraction, analysis, and reporting using SQL or other BI tools
- Strong verbal and written communication skills, with the ability to collaborate effectively with both technical and non-technical stakeholders
- Ability to think critically, analyze data, and propose actionable solutions for process optimization
How to apply
- สมัครผ่าน JobThai
- ส่งใบสมัครผ่าน E-mail
- ติดต่อตามเบอร์โทรด้านล่าง
Contacts
Khun Phakhin Padungpoj
บริษัท บลูเวนเจอร์ ทีพีเอ จำกัด
เลขที่ 48/16 ซอยรัชดาภิเษก 20 ถนนรัชดาภิเษก
Sam Sen Nok Huai Khwang Bangkok 10310
Tel. : 02-660-1234 (3156)
Email : blueventuretpa_10@trustmail.jobthai.com (Email for job application & inquiry)
Fax : 02-276-8716
Location
Sam Sen Nok Huai Khwang Bangkok
Application Methods
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