Business Analyst - Payer Escalations
Sentara Health
Summary
The Business Analyst Payer Escalations is responsible for designing, producing, and analyzing data-driven reports to support business operations and special projects. This role involves utilizing various databases, information systems, and analytical tools to monitor, evaluate, and enhance business performance. The Business Analyst also assists in the implementation, maintenance, and optimization of information systems, ensuring data accuracy, accessibility, and usability for decision-making.
Job description
Overview
The Business Analyst Payer Escalations is responsible for designing, producing, and analyzing data-driven reports to support business operations and special projects. This role involves utilizing various databases, information systems, and analytical tools to monitor, evaluate, and enhance business performance. The Business Analyst also assists in the implementation, maintenance, and optimization of information systems, ensuring data accuracy, accessibility, and usability for decision-making.
The Business Analyst is responsible for designing and generating reports, dashboards, and visualizations for business operations. Analyzing trends, patterns, and key performance indicators (KPIs) to provide actionable insights and maintaining data integrity, accuracy, and consistency in reporting.
The incumbent must be able to utilize SQL, Excel, Power BI, Tableau, or other analytics tools to extract and manipulate data; conduct statistical analysis to support data-driven decision-making and translate complex data into concise, easy-to-understand reports for stakeholders.
The Business Analyst must be able to assist in the development, implementation, and optimization of business information systems; maintain data structures, queries, and reporting tools to support business needs; and work closely with IT teams to ensure data availability and system functionality.
- Documenting business processes, data sources, and reporting methodologies
- Identifying inefficiencies and opportunities for process improvement
- Providing recommendations for enhancing data collection, storage, and analysis methods
- Working closely with cross-functional teams, business stakeholders, and IT to understand reporting needs
Education
- Bachelor's level degree (Required)
Certification/Licensure
- No specific certification or licensure requirements
Experience
- Experience working with Large Datasets and Multiple Databases
- Knowledge of BI Tools, SQL, querying and reporting software
- 3+ years relevant experience in business analysis, data reporting or analytics
Requirements
- Bachelor's level degree (Required)
- Experience working with Large Datasets and Multiple Databases
- Knowledge of BI Tools, SQL, querying and reporting software
- 3+ years relevant experience in business analysis, data reporting or analytics
Benefits
- Medical, Dental & Vision
- Adoption, Fertility & Surrogacy Reimbursement
- Paid Time Off & Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term & Short-Term Disability
- Critical Illness Plans
- Life Insurance
- 401(k)/403(b) Employer Match
- Tuition Assistance
- Student Debt Pay Down
- Pet Insurance
- Legal Resources Plan
- Annual Discretionary Bonus
Company overview
Sentara Health is a leading not-for-profit integrated healthcare delivery system serving Virginia, northeastern North Carolina, and Florida. Founded in 1888 and headquartered in Hampton Roads, Virginia, Sentara operates 12 acute care hospitals across its service area, with 10 hospitals holding prestigious Magnet® recognition for nursing excellence. The organization employs approximately 34,000 healthcare professionals and serves over 1 million health plan members through its Sentara Health Plans division. As one of the top 20 largest not-for-profit integrated health systems in the United States, Sentara is nationally recognized for clinical quality, safety, and innovation. The system has received numerous accolades including Health Quality Innovator of the Year (2024), Forbes' "America's Best-In-State Employer" (2024), and inclusion in IBM Watson Health's "Top 15 Health Systems." Sentara's comprehensive services span hospital care, outpatient facilities, home health, hospice services, and specialized programs like the Nightingale air ambulance service, which has completed over 20,000 missions since 1982.