Business Analyst II

  • Location
    Irvine, California
  • Job type
  • Category
    Medical & Science - Administration

Adecco is currently assisting a local client in their search to fill Business Analyst II– in Irving, CA! Apply now if you meet the qualifications listed below!

***Actual Job Title: Senior Payment Analyst***

The responsibilities of this position include, but are not limited, to the following:
1. Oversees and manages the production schedules for pharmacy payment batches, tracer activity, projects and reporting. These activities are performed by onshore and offshore team members.
2. Perform account reconciliations and analyses
3. Assists on external and internal audits
4. Generate standard and ad hoc reports as required
5. Develop innovative approaches for continued improvement in efficiency and effectiveness.
6. Assist with complex reconciliations that involve Billing and Payment data. In addition, perform, analyze and report on findings of the reconciliation
7. Assist with running and analyzing reports from claims data warehouse, RxC online reporting tools, MS Access & Excel
8. Partner with other departments, including Retail Network Ops, Provider Relations, Claims Operations and IT for payment batch/checks monitoring, payment tracer questions and other ad hoc processes
9. Reviews weekly RXACH schedules and payment files
10. Performs network audit payment hold activities
11. Assists in creating yearly payment schedules
12. Performs key SOX controls for pharmacy payment accuracy, completeness and cutoff
13. Performs weekly unclaimed and abandoned property activities
14. Prepares reporting for client performance guarantees and CMS/state regulators for prompt pay compliance
15. Provides payment backup support for COGS/Claim Payable and billing / revenue Blackline recons
16. Other related duties as assigned

1. Minimum of 3-5 years of professional experience in business management, finance, accounting, or related function
2. Bachelor degree in business administration/management, accounting, finance, or related function
3. The ideal candidate would have healthcare background
4. Data mining/query, analytics, MS office experience is a plus and/or willingness to learn is desired
5. Proficiency with Excel is required, Advanced skills a plus
6. Strong verbal and written communication skills as the position requires interfacing with other departments and clients
7. Strong analytical skills; detail oriented, as well as ability to see ‘big picture’
8. Ability to work and contribute in a team environment, as well as work independently
9. Takes initiative and accountability for work product and able to meet deadlines
10. Serves as a key resource on complex and/or critical issues
11. Solves complex problems on own; proactively identifies new solutions to problems
12. Plans, prioritize, organize and complete work to meet established objectives

Shift Start/End Time:7:30am - 4:30pm or 8:00am to 5:00pm PT

Dress Code: Business Casual

Work Location:
2300 MAIN ST
Irvine, CA 92614

Interview: face to face

Dress Code: Business Causal
If you have any questions surrounding the application process, please feel free to reach out to LEONOR REYES

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k) and Insurance Benefit Plans.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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Reference number US_EN_2_022862_404053