Business Analyst

The Business Analyst supports vendor performance management for Appeals operations by analyzing performance data, identifying root causes of quality and compliance gaps, and supporting governance routines. This role partners with internal teams and vendor partners to improve appeals accuracy, turnaround time, and overall service performance while ensuring adherence to regulatory and contractual requirements.

Primary Responsibilities

Assist Vendor Onboarding and Offboarding activities through the contract lifecycle

Analyze Appeals performance (TAT, quality, overturn rate, inventory, productivity) to identify trends and risks

Monitor appeals inventory and case aging to support timely and compliant processing

Conduct root cause analysis on quality defects, overturns, and documentation gaps

Support vendor oversight, including SLA monitoring and issue resolution tracking

Develop reporting and executive-ready summaries for leadership and business reviews

Support Monthly Business Reviews and vendor governance routines

Identify and support process improvements to enhance accuracy, efficiency, and compliance

Partner with Operations, QA, Compliance, and vendor teams to drive performance outcomes

Minimum Qualifications

Bachelor’s degree in Business, Healthcare Administration, or related field

2–5 years of experience in business analysis, operations, or healthcare environment

Strong analytical skills and experience working with performance metrics

Advanced Excel skills and experience developing reports

Strong written and verbal communication skills

Proven problem-solving and root cause analysis experience

Preferred Qualifications

Experience in healthcare appeals or grievance operations

Familiarity with compliance/regulatory requirements (e.g., CMS, NCQA)

Experience supporting vendor/offshore operations or BPO environments

Knowledge of performance metrics (TAT, overturn rate, quality, inventory)

Experience with reporting tools (Power BI, Tableau, SQL)

Knowledge of process improvement methodologies (Lean, Six Sigma)

Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.