Talent.com
Business Analyst Program Integrity Vendor Audits (Remote)
Business Analyst Program Integrity Vendor Audits (Remote)Sentara Healthcare • Norfolk, VA, US
[error_messages.no_longer_accepting]
Business Analyst Program Integrity Vendor Audits (Remote)

Business Analyst Program Integrity Vendor Audits (Remote)

Sentara Healthcare • Norfolk, VA, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [filters.remote]
[job_card.job_description]

Business Analyst

We are looking for a meticulous and analytical Business Analyst to oversee the management of third-party vendors. This role will be responsible for analyzing vendor performance, identifying cost-saving opportunities, and is critical in ensuring vendor compliance with contractual, regulatory, and operational standards. The ideal candidate will bring strong analytical skills, audit / claims experience, and a collaborative mindset to support risk mitigation and performance improvement across the vendor landscape.

Key Responsibilities :

  • Analyze audit findings and vendor performance data to identify trends, risks, and improvement opportunities.
  • Data extraction & Analysis
  • Regulatory Reporting & KPI Development
  • Serve as a liaison between vendors and providers to resolve issues and improve service delivery.
  • Track and evaluate vendor performance using KPIs and SLAs.
  • Conduct regular vendor reviews and audits to ensure compliance and quality standards.
  • Evaluate vendor adherence to Business Associate Agreements (BAAs), SLAs, and quality standards.
  • Recommend enhancements to vendor audit frameworks, tools, and documentation practices.
  • Contribute to the development of policies and procedures for vendor oversight and governance.
  • Support continuous improvement initiatives in vendor lifecycle management.
  • Maintain documentation of audit procedures, findings, and follow-up actions.
  • Contribute to the development of vendor audit policies and workflows.

Preferred Skills :

  • Knowledge of Databricks
  • Knowledge of SQL
  • Experience in regulated industries (e.g., healthcare, finance, insurance).
  • Experience and / or knowledge of medical coding and inpatient auditing
  • Education :

  • Bachelor's Degree (Required)
  • Certification / Licensure :

  • No specific certification or licensure requirements
  • Experience :

  • 3+ years of relevant experience in business analysis, data reporting, or analytics (Required)
  • Must have 3+ years of experience in business analysis, auditing, claims, vendor management, or compliance.
  • Knowledge of business intelligence (BI) tools, SQL querying, and reporting software.
  • Required to have experience working with health insurance, claims data, and auditing claims data
  • Excellent written and verbal communication skills.
  • Benefits : Caring For Your Family and Your Career

  • Medical, Dental, Vision plans
  • Adoption, Fertility and Surrogacy Reimbursement up to $10,000
  • 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 $5,250 / year and discounted educational opportunities through Guild Education
  • Student Debt Pay Down $10,000
  • 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 if established 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 30,000-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.

    [job_alerts.create_a_job]

    Integrity Analyst • Norfolk, VA, US

    [internal_linking.related_jobs]
    Business Analyst

    Business Analyst

    Threat Tec, LLC • Newport News, VA, US
    [job_card.full_time]
    Threat Tec, LLC, a rapidly growing Veteran-Owned Business, is the leader of Operational Environment (OE) replication and Threat. Threat Tec brings innovative thinking and extensive experience to com...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Business Analyst

    Business Analyst

    UIC Alaska • Norfolk, VA, US
    [job_card.full_time]
    Bowhead seeks a Business Analyst to join our team in supporting the Military Sealift Command (MSC) Financial Management support Services effort located in Norfolk, VA. The mission of MSC is to provi...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Business Analyst

    Business Analyst

    Virginia Staffing • Chesapeake, VA, US
    [job_card.full_time]
    Business Analyst Opportunity In Chesapeake, Virginia.We are looking for a skilled Business Analyst to join our team in Chesapeake, Virginia. In this role, you will oversee the financial management o...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Analyst

    Program Analyst

    MANTECH • Norfolk, VA, United States
    [job_card.full_time]
    Navy's Continuous Training Environment (NCTE).We provide critical engineering and technical expertise for the U.Live, Virtual, Constructive (LVC). Our work involves seamlessly integrating live train...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Capability Portfolio Analyst (N)

    Capability Portfolio Analyst (N)

    SimIS • Norfolk, VA, US
    [job_card.full_time]
    Veteran Owned Small Business (VOSB) that models future environments, requirements, and capabilities, and then secures the enterprise from internal and external threats compliant with Federal, State...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Business Finance Analyst

    Business Finance Analyst

    Virginia Staffing • Newport News, VA, US
    [job_card.full_time]
    Since 1953, Ferguson has been a source of quality supplies for a variety of industries.Together we build better infrastructure, better homes and better businesses. We exist to make our customers' co...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Business Analyst I

    Business Analyst I

    TekWissen LLC • Monroe, Virginia, USA
    [job_card.full_time] +1
    TekWissen is a global workforce management provider headquartered in Ann Arbor Michigan that offers strategic talent solutions to our clients world-wide. Our client is a company operating a marketpl...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Analyst (Intermediate) - Chesapeake, VA

    Analyst (Intermediate) - Chesapeake, VA

    Jamison Professional Services, Inc. • Chesapeake, VA, United States
    [job_card.full_time]
    Jamison Professional Services, Inc.Jamison") is currently seeking a qualified and motivated candidate for the position of. Please provide a copy of your resume (not to exceed two (2) pages) that inc...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Analyst

    Program Analyst

    US Government Jobs • Norfolk, VA, US
    [job_card.full_time]
    Organizational Location : This position is with the Department of Homeland Security, within U.Customs and Border Protection, Office of Field Operations, Mission Support Directorate, Acquisition Divi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Business Analyst

    Business Analyst

    Robert Half • Chesapeake, VA, US
    [job_card.full_time]
    We are looking for a skilled Business Analyst to join our team in Chesapeake, Virginia.In this role, you will oversee the financial management of a portfolio of 650+ retail store leases, ensuring c...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Mid Program Analyst

    Mid Program Analyst

    Clearance Jobs • Norfolk, VA, US
    [job_card.full_time]
    Secret Security Clearance Management Analyst.At Prescient Edge, we provide employees with a best-in-class benefits package that includes : . A competitive salary with performance bonus opportunities.C...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Analyst, Management II

    Analyst, Management II

    AERMOR • Norfolk, VA, United States
    [job_card.full_time]
    This position involves conducting in-depth data analysis, developing management models, and delivering actionable recommendations to support Government decision-making. The individual must possess d...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote FinTech Product Analyst - AI Trainer ($50-$60 / hour)

    Remote FinTech Product Analyst - AI Trainer ($50-$60 / hour)

    Data Annotation • Newport News, Virginia
    [filters.remote]
    [job_card.full_time] +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Business Process Analyst

    Business Process Analyst

    CMA CGM (America) LLC • Norfolk, VA, US
    [job_card.full_time]
    ID : 571147 Location : Norfolk Va, US Business Process Analyst Led by Rodolphe Saadé, the CMA CGM Group, a global leader in shipping and logistics, serves more than 420 ports around the world on five...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Contract Analyst

    Contract Analyst

    VersAbility Resources • Hampton, VA, United States
    [job_card.full_time]
    The Contract Analyst is responsible for reviewing, analyzing, and managing contracts to ensure compliance with policies, legal requirements, and service delivery standards.A key component includes ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Data Annotation • Chesapeake, Virginia
    [filters.remote]
    [job_card.full_time] +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Functional Analyst

    Senior Functional Analyst

    Syms Strategic Group, LLC (SSG) • Newport News, VA, US
    [job_card.full_time]
    Syms Strategic Group (SSG) .Security Clearance Level : .Military Veterans are highly encouraged to apply!.Essential Duties and Responsibilities. Previous Federal Government experience and S...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Business Analyst- Norfolk, VA

    Business Analyst- Norfolk, VA

    Staffing • Norfolk, VA, US
    [job_card.full_time]
    Location : Norfolk, VA Duration : Full Time Rate : DOE US Citizen, Green Card, EAD, TN Visa Preferred Must have healthcare domain experience. Good communications skills Strong healthcare domain knowled...[show_more]
    [last_updated.last_updated_30] • [promoted]