Healthcare Business Analyst

This position will require being on-site 1 day a week, in either the Chicago or Washington, DC office. This position will support the Part D Medicare Compliance Officer. Preference will be given to candidates with experience in Medicare Programs. Designs and documents business process requirements for all related business, financial, and operational systems critical to core business functions within FEP for support of the Medicare Prescription Drug Program, and other Medicare programs. This may require the Business Analyst to research and analyze data in support of business functions, process knowledge, and systems requirements. Recommends new or improvements to existing business and operational processes and procedures. Manages projects to build a Medicare Compliance Program. Manages compliance program auditing and monitoring activities. Assists with audit readiness. This person should have 7 years’ experience in the health payer industry – Blues or FEHBP experience desirable. Experience in Medicare Program Audits or Medicare CPE Audits is desirable. Experience with Compliance Programs is preferred. Key Responsibilitiescompliance training trackingauditing and monitoring compliance programmonthly exclusion check monitoringupdating policies and procedurescompliance hotline monitoringcompliance program communicationscompliance committee meetingscompliance program workplanHPMS memo review and analysiscompliance program liaison with FEPMedicare Compliance shared mailbox ownerattend monthly MAPD Plan callsassist with Compliance Program audit readiness Ability to Commute: North Chicago, IL 60064 (Required)Ability to Relocate: North Chicago, IL 60064: Relocate before starting work (Preferred)