About the position
Overview
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.
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.
Requirements
• 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.
Nice-to-haves
• 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
Benefits
• 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.
Apply Now
Apply Now