CAT Senior Business Analyst

City/State

Work Shift

Overview:

Overview

The Senior Business Operations Analyst plays a key role in driving quality consistency and operational excellence across Sentara Health Plans. This position is responsible for leading comprehensive root cause analysis efforts for plan-wide issues escalated through the Customer Advocacy Team (CAT). The analyst will investigate operational and system concerns serve as the primary point of contact for internal and external stakeholders schedule and facilitate cross-functional meetings and ensure timely implementation of containment strategies and long-term countermeasures.

This role requires strong operational knowledge in areas such as claims system administration benefit configuration member enrollment and provider/network data management. The analyst will partner closely with Customer Operations IT Quality and other business units to define requirements analyze data implement process improvements and communicate insights. The ideal candidate brings exceptional critical thinking emotional intelligence communication skills and the ability to lead initiatives in a fast-paced environment with competing priorities.

Education

Bachelors Degree (Preferred)
or
Bachelors degree 2 years relevant experience may be accepted in lieu of degree
or
Equivalent relevant experience in operations IT reporting or related areas

Certification/Licensure

No specific certification requirements
Preferred:

• Six Sigma Lean or similar process improvement certification (optional)

Experience

• Proven experience in root cause analysis operational research or business operations within healthcare or health plan environments

• Strong knowledge of customer operations such as claims benefit configuration system administration member enrollment or provider data management

• Demonstrated ability to independently lead cross-functional projects from investigation through resolution

• Strong critical thinking problem-solving and analytical skills with the ability to influence corrective actions

• Experience gathering business requirements mapping processes triaging issues and driving remediation strategies

• Exceptional verbal and written communication skills including the ability to present findings and facilitate discussions

• Ability to work effectively under pressure manage multiple priorities and meet tight deadlines

• High emotional intelligence with the ability to connect with stakeholders and advocate when issues arise

• Strong organizational skills and comfort with public speaking

• Must have a quiet private remote workspace to protect PHI

Benefits: Caring For Your Family and Your Career

Medical Dental Vision plans

Adoption Fertility and Surrogacy Reimbursement up to $10000

Paid Time Off and Sick Leave

Paid Parental & Family Caregiver Leave

Emergency Backup Care

Long-Term Short-Term Disability and Critical Illness plans

Life Insurance

401k/403B with Employer Match

Tuition Assistance $5250/year and discounted educational opportunities through Guild Education

Student Debt Pay Down $10000

Reimbursement for certifications and free access to complete CEUs and professional development

Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission to improve health every day this is a tobacco-free environment.

For positions that are available as remote work Sentara Health employs associates in the following states:

Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.

Required Experience:

Senior IC