Business Analyst – Program Integrity Vendor Audits (Remote)
City/State Norfolk, VA Work Shift First (Days) 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. 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.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$53,476.80-$89,128.00. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. 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. Apply tot his job Apply To this Job