Associate Business Operations Analyst

Associate Business Operations Analyst 

Position Overview 

We are seeking a detail-oriented and analytical Associate Business Operations Analyst to join our Clearinghouse Operations team. This remote position will report directly to the Vice President of Clearinghouse Operations and serve as a key operational resource responsible for payer list maintenance, new payer implementations, routing changes, and customer communications related to clearinghouse operations. 

Key Responsibilities 

Payer Maintenance & Implementation: 

• Manage and maintain the comprehensive Office Ally Payer List, ensuring accuracy and completeness of payer information 

• Implement route changes related to all EDI transactions, including eligibility & verification, claims, claim status, and ERA 

• Implement new direct payers and trading partners per their custom specifications 

• Compile and maintain detailed payer setup information, documentation, and specifications 

Customer & Stakeholder Communication: 

• Prepare clear and professional customer communications regarding payer updates, routing changes, and transaction processing issues 

• Serve as a communication liaison between internal teams and customers on payer-related matters 

• Document and distribute notifications about payer connectivity changes, downtimes, or processing updates 

Cross-Functional Collaboration: 

• Work closely with the Payer and Trading Partner Management team to ensure seamless payer integrations and implementations 

• Partner with the Customer Support Team to address payer-related inquiries and resolve issues 

• Coordinate with technical teams on routing configurations and system updates 

Qualifications 

Required: 

• Associates degree or above in Business Administration, Healthcare Administration, Information Systems, or related field 

• 1-3 years of experience in the healthcare technology industry 

• Excellent written communication skills for preparing customer-facing documentation 

• Ability to work independently in a remote environment while maintaining strong team collaboration 

• Strong organizational and project management skills 

Technical Skills: 

• Proficiency in Microsoft Excel for tracking and analysis 

• Proficiency in Microsoft Word for documentation and customer communications 

• Experience with Microsoft Teams for collaboration and remote communication 

• Working knowledge of JIRA for project tracking and task management 

• Familiarity with Salesforce or similar CRM platforms 

Preferred: 

• Experience with healthcare clearinghouse operations or EDI transactions 

• Knowledge of healthcare claims processing and payer connectivity 

• Understanding of electronic data interchange (EDI) standards and HIPAA transaction sets 

• Familiarity with payer enrollment processes and trading partner agreements 

• Technical aptitude and eagerness for continued learning