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Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. We are seeking a highly organized and detail-oriented Business Analyst to serve as the first point of contact for incoming work requests from stakeholders, vendors, and client-facing teams. This person will be acting as the bridge between multifaceted stakeholders and the Data Integration team. They will ensure that new initiatives and troubleshooting requests are fully understood, properly documented, and efficiently handed off to technical teams with clear timelines and expectations. This role requires strong analytical skills, healthcare industry expertise, and exceptional communication abilities to keep projects on track and stakeholders informed. Responsibilities Include: Business Analysis (Primary) * Act as the first stop for new incoming requests from internal teams, external vendors, and product-facing groups. * Review and assess requests to ensure they are complete, make sense, and have the necessary details for execution. * Collaborate with stakeholders to refine and finalize requirements, asking the right questions to uncover missing information. * Translate business needs into clear, actionable deliverables for the Data Integration team. * Troubleshoot existing workflows or integrations and coordinate solutions. Scrum & Project Coordination (Secondary) * Partner with the Data Integration team to determine timelines and set realistic expectations with vendors. * Own the workflow handoff from business requirements to technical execution, ensuring tasks are properly assigned and prioritized. * Facilitate alignment between competing priorities, balancing stakeholder needs with technical capacity. * Track progress and communicate updates to all relevant parties. Process Ownership & Improvement * Drive efficiency by establishing clear, upfront requirements to prevent rework and wasted technical effort. * Build and refine processes that enhance the predictability and success of technical deliverables. * Develop roadmaps and project timelines that allow stakeholders to clearly see when deliverables will be completed. * Identify and implement process improvements that enable technicians to focus on execution rather than chasing details. Qualifications: Required Skills and Abilities: * 2+ years working with Jira in a BA or Scrum capacity. * 3+ years of experience soliciting and documenting requirements for EDI or other data integration systems. * 5+ years of experience in self-funded healthcare. * Proven ability to manage competing priorities and coordinate across multiple teams. * Strong organizational, analytical, and communication skills. Education and Experience: * Experience with claim adjudication platforms. * Familiarity with healthcare data workflows beyond EDI. * 3+ years of experience with project planning Soft Skills and Competencies: * Exceptional organizational skills. * Strong ability to prioritize and set expectations with stakeholders. Leadership Skills: * Business Acumen – A keenness and quickness in understanding and dealing with a business situation (risks and opportunities) in a manner that is likely to lead to a good outcome. Critical to this is an ability to think beyond their own function. * Accountability & Execution – Taking ownership of actions, following through on commitments, actively carrying out tasks, monitoring progress, delivering results as promised, and being answerable for positive and negative outcomes. * Strategist Mindset - The ability see and articulate the bigger picture, thinking proactively and anticipating both opportunities and obstacles in the context of setting direction and maintain alignment to long-term company goals. * Systems Thinking – The ability to see and articulate the patterns, interconnections and interdependencies within a system * Process Orientation – The ability to see and articulate the sequential flow of activities, including anticipating impacts upstream and downstream when processes are changed. * Flexibility/Working through Ambiguity – Tendency to be energized by new experiences/perspectives, working with both data and fragmented information to arrive at practical, effective, actionable next steps. Centivo Values: * Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up. * Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon. * Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive. Work Location: * Role may be remote, preference for Buffalo, NY. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $95K - $105K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. The Recovery Analyst is primarily responsible for managing all file requirements from beginning to end for subrogation cases, No Surprises Act (NSA) disputes, and overpayment recoveries with the assigned third-party vendor. This includes researching paid claims, answering inquiries, coordinating with other departments, and adjusting claims based on overpayments of claims and settlements for both the subrogation and NSA processes. This individual will work as an effective interface between internal and external customers and maintain good member and partner relationships. Responsibilities Include: * Prepare documentation, review claim history, and other documentation related to overpayment, subrogation, and NSA requests. * Utilize available resources to investigate claim situations for overpayment, subrogation, and NSA cases. * Follow-up with responsible departments and delegated entities to ensure compliance. * Monitors daily and weekly inventory to ensure internal and regulatory timeframes are met. * Identify areas of potential improvement and provide feedback and recommendations to management on issue resolution, quality improvement, network contracting, policies and procedures, administrative costs, cost-saving opportunities, best practices, and performance issues. * Notifies the assigned vendors and clients of the subrogation and recovery interest; confers with other parties, internal departments, and clients concerning potential settlement or other actions. * Represents Centivo in meetings concerning recovery, subrogation, and NSA matters, including facilitating calls between Centivo’s third-party vendor and the client, to obtain final approval. * Maintain data entry requirements for all complaints and appeals. * Perform any other additional tasks or duties as assigned or required. Qualifications: Required Skills and Abilities: * Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others. * Must possess proven organizational, rational reasoning, ability to examine information, and problem-solving skills, with attention to detail necessary to act within complex environment. * Knowledge of applicable rules and statutes, of the process and principles of insurance and of basic subrogation and NSA concepts. * Ability to comprehend and produce grammatically accurate, error-free business correspondence required. * Ability to appropriately identify urgent situations and follow the appropriate protocol. * Requires the ability to plan, manage multiple priorities, and deliver complete, accurate, and timely results in a fast-paced office environment. Education and Experience: * High School diploma or equivalent required, Associate degree preferred. * At least one year of experience in health plan operations, claims processing, subrogation, or other experience directly related to position duties and knowledge. * Additional years of experience/training may be considered in lieu of educational requirements required. Preferred Qualifications: * Prior subrogation or NSA experience. Work Location: Candidates located within commuting distance of our Buffalo office will be considered for both in-person and hybrid roles. All other applicants will be considered for remote positions. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $55K - $60K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. We are hiring for a Core Platform System Analyst, which emphasizes technical execution and support. This role is critical to ensuring the stability, performance, and alignment of our core platform systems with organizational goals. The ideal candidate will have a deep understanding of plan building, benefits design, and systems configuration, alongside core platform expertise. You will collaborate with cross-functional teams, including IT, Operations, Claims, and Compliance, to ensure system stability, data integrity, and efficient process workflows. Key Responsibilities: * Core Platform Support & Optimization: * Serve as a subject matter expert (SME) for core platform systems, including claims processing, member management, provider networks, and benefits configuration. * Troubleshoot, analyze, and resolve issues related to platform functionality, system configuration, and performance. * Work with technical teams to identify and implement system enhancements, fixes, and updates to improve platform performance and meet business requirements. * Monitor and optimize system performance, proactively addressing issues to prevent disruptions in business operations. * Plan Building & Benefits Configuration: * Lead and support the design and configuration of health plans, benefits structures, and benefit rule sets in the core platform system. * Collaborate with business stakeholders to ensure health plan design and benefits configurations align with customer requirements and regulatory guidelines. * Configure and maintain benefits, networks, claims rules, and other key system elements related to health plan operations. * Assist with the development and maintenance of benefit plans and ensure they are properly integrated into the platform, ensuring accurate benefits administration. * Business Analysis & Requirements Gathering: * Work closely with business users (Claims, Enrollment, IT, etc.) to gather and document system requirements, and translate them into actionable, functional specifications. * Conduct gap analyses to identify system inefficiencies and collaborate with the team to implement solutions that improve workflows and business processes. * Provide subject matter expertise on system configuration, ensuring new features and changes meet business needs. * Data Integrity & Quality Assurance: * Ensure data accuracy, integrity, and consistency across systems, performing regular audits and validation checks to maintain high-quality data. * Develop and execute test plans to ensure system changes meet business needs and functional specifications. * Document system configurations, updates, and changes, ensuring that all processes are clearly outlined for internal use. * Collaboration & Training: * Act as a liaison between technical teams and business users to ensure system solutions align with business goals and requirements. * Provide technical support and training for end-users on system functionality, process changes, and best practices. * Foster collaboration across departments to ensure platform systems are optimized to meet business needs. * Regulatory Compliance & Reporting: * Ensure core platform systems comply with healthcare industry regulations, including HIPAA, CMS, ACA, and other applicable standards. * Assist in creating and delivering necessary reports and dashboards that monitor key performance indicators (KPIs) related to health plans, claims, member services, and provider operations. * Project Management: * Support the planning, coordination, and execution of system upgrades, platform changes, and new implementations. * Manage system-related projects from initiation through to completion, ensuring timely delivery within scope and budget. Qualifications: * Education: * Bachelor's degree in Information Technology, Computer Science, Health Information Management, or a related field. Relevant certifications (e.g., Health IT, Business Analysis) are a plus. * Experience: * 5 years of experience working with core platform systems in a health plan, TPA, or healthcare-related setting. * Must have experience with HealthRules Payer * Hands-on experience with health plan building, benefits configuration, and system administration in core platform systems. * Strong knowledge of claims processing systems, member management platforms, and provider networks. * Familiarity with healthcare operations, including claims adjudication, enrollment, and provider management processes. * Skills & Competencies: * Strong analytical and problem-solving skills with the ability to translate business needs into system configurations and solutions. * Deep understanding of plan building, benefits configuration, and related system settings. * Experience with system integrations and interfacing with third-party vendors. * Knowledge of healthcare regulations and standards, including HIPAA, CMS, and ACA. * Proficient in project management and documentation tools (e.g., JIRA, Confluence, Microsoft Project). * Excellent communication skills, both written and verbal, with the ability to engage with both technical and non-technical stakeholders. * Detail-oriented with a strong focus on system optimization, data integrity, and process improvement. * Ability to manage multiple priorities and deadlines in a fast-paced environment. Preferred Qualifications: * Familiarity with business intelligence tools (e.g., Tableau, Power BI) for reporting and analysis. * Certification in Business Analysis (CBAP, PMI-PBA) or IT systems management is a plus. Location: * Role may be remote, preference for Buffalo, NY. Values: * Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up. * Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon. * Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $90K - $110K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is looking for a Financial Operations Analyst to help support our Finance & Administration, Claims, and Systems Configuration team as we continue to grow. Responsibilities Include: * Receive weekly check registers and log data in respective client’s spreadsheets * Review daily bank transactions, logging debits and credits on client spreadsheets * Initiate ACH payments in JPMC online banking to collect funds from clients, and send payments to vendors * Receive refund checks from providers, log information on the tracking spreadsheet and work with Claims team to have refund processed in the claims system * Release payments and EOBs to providers/members in the Zelis Zapp system * Receive manually issued checks, sort by payee and track receipt on various spreadsheets Qualifications: Required Skills and Abilities: * 1 year of experience in data entry or similar financial role * Excellent written and communication skills * Intermediate knowledge of Microsoft Office products (Excel, PowerPoint, Word, Outlook) with ability to navigate SharePoint & OneDrive Work Location: An ideal candidate would be assigned to the Buffalo Office, Monday – Friday with the potential for hybrid work Centivo Values: * Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up. * Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon. * Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.

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Master's degree in business, healthcare administration or a related field and the equivalent of two (2) years of full-time experience in healthcare or business operations, including one (1) year engaged in project management activities; or 2. Bachelor's degree in business, healthcare administration

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