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Job Requirements of Business Analyst - Arbitration Strategy:
Qualifications
- Bachelor’s degree in Business, Finance, Data Analytics, or a related field required
- Minimum of three years of experience as a Business Analyst or in a similar analytical role
- Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify actionable insights
- Advanced proficiency in Microsoft Excel
- Understand mid-level SQL queries
- Experience with additional data visualization tools is a plus
- Experience monitoring dashboards and working with application teams to modify current dashboards and develop new dashboards (Sigma, Excel)
- Excellent written and verbal communication skills, with the ability to present findings to all levels of the organization
- Self-motivated, detail-oriented, and highly organized, with the ability to manage multiple priorities
- Demonstrated ability to collaborate cross-functionally and influence without direct authority
- Experience in healthcare billing, revenue cycle management, or IDR for out-of-network medical claim disputes is highly preferred
Do you meet the requirements for this job?
Business Analyst - Arbitration Strategy
TeamHealth
Knoxville, TN (Hybrid)
Full-Time
TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025 – Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join Us!
This position has a hybrid work schedule with an average 2 days per week in the corporate office located in Knoxville.
OVERVIEW:
The Business Analyst Arbitration Strategy is responsible for the analysis, reporting, and documentation of outcomes as required for the business’ vision and needs. This role will focus on supporting the Independent Dispute Resolution (IDR) process under the No Surprises Act and relevant state regulations, with a primary emphasis on analyzing outcomes after arbitration. This role provides actionable insights to improve future IDR submissions, enhance negotiation strategies, and support data-driven decision-making across the organization. This position is part of the Revenue Cycle Management department.
KEY RESPONSIBILITIES
Outcome Data Analysis
- Review and analyze post-arbitration outcome data, including financial awards, payer/provider win rates, and time to resolution
- Review and analyze out of network paid claims that are not selected for a dispute resolution process to evaluate opportunities to expand coverage
- Identify patterns and trends in arbitration decisions to inform business strategy
- Recommend changes to future IDR submissions and negotiation approaches based on outcome analysis
- Prepare and present outcome analysis reports for executive leadership, finance, and operations leadership
- Develop and maintain dashboards using Sigma and Excel; adapt to other data visualization tools as needed
- Communicate complex findings in a clear, concise manner tailored to various stakeholder audiences
- Propose process changes, such as adjustments to negotiation strategies or documentation standards, based on trends in arbitration outcomes
- Collaborate with leadership and, when approved, the IDR operations team to implement process improvements
- Maintain awareness of regulatory changes that may impact arbitration outcomes, in coordination with the regulatory compliance team
- Work with data from Athena IDX, ETM, Snowflake, and Sigma dashboards
- Leverage advanced Microsoft Excel skills and knowledge of mid-level SQL queries to extract, manipulate, and analyze data
Job Requirements:
Qualifications
- Bachelor’s degree in Business, Finance, Data Analytics, or a related field required
- Minimum of three years of experience as a Business Analyst or in a similar analytical role
- Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify actionable insights
- Advanced proficiency in Microsoft Excel
- Understand mid-level SQL queries
- Experience with additional data visualization tools is a plus
- Experience monitoring dashboards and working with application teams to modify current dashboards and develop new dashboards (Sigma, Excel)
- Excellent written and verbal communication skills, with the ability to present findings to all levels of the organization
- Self-motivated, detail-oriented, and highly organized, with the ability to manage multiple priorities
- Demonstrated ability to collaborate cross-functionally and influence without direct authority
- Experience in healthcare billing, revenue cycle management, or IDR for out-of-network medical claim disputes is highly preferred
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