Quality FEP Business Analyst at American Cybersystems, Inc. in Philadelphia, Pennsylvania
Posted in Other about 3 hours ago.
Job Description:
Innova Solutions has a client that is immediately hiring for a Quality Business Analyst
Position type: Full Time-Contract
Duration: 6 months
Location: Philadelphia, PA
As a Quality Business Analyst you will:
- Work in a production environment handling transactions required as well as business support to teams as needed.
- Handle claims production tasks such as written inquiries and reconsiderations and related adjustments to attain FEP Performance metrics
- Ability to assess FEP procedures and regulations and required controls and incorporating what is required into the specifications and/or documentation.
- Identify process improvements and develop workflow and/or system recommendations.
- Support FEP audits, including research claims related issues/questions and preparation of appropriate audit responses as well as in the audit presentation to FEP Directors Office, if needed.
- Support assigned projects related to FEP, maintain appropriate documentations at a task level, monitor deadlines and service as subject matter expert when appropriate.
- Develop and maintain user documentation/desk level procedures ensuring the most current information is available to the claims team
- Work with the Business Support team in reviewing FEP release documentation and participate in testing initiatives as needed.
- Attend internal and external education training to achieve and maintain proficiency on all systems
The ideal candidate will have:
- High School Diploma or GED ,4 years' experience in a Claims/Service operations environment OR Associate degree or minimum two-year Federal Employee Health Benefits Plan work-related experience, bachelor's degree preferred.
- Knowledge of systems, process flows, regulatory impacts, and timelines to ensure requirements, testing and implementation are in compliance across operational disciplines.
- Experience in auditing, quality review or transaction processing experience
- Demonstrated understanding of FEP policies, processing standards and guidelines
Thank you!
Garv Bhalla
678-207-5236
Garv.bhalla@innovasolutions.com
PAY RANGE AND BENEFITS:
Pay Range*: $28 - $30 per hour
*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.
Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).
ABOUT INNOVA SOLUTIONS:Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.
Recent Recognitions:
- Named One of America's Best Employers for New Grads by Forbes (2024
- Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List, 2024-2025)
- One of the Largest IT Staffing Firms in the US - Ranked #3 by Staffing Industry Analysts (SIA, 2024)
- One of the Largest Staffing Firms in the US - Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
- Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
- One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
- AWS Advanced Tier Services Partner with 100+ certifications
Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.
The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.
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