Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Case Analyst IV

ASM Research, An Accenture Federal Services Company

The Case Analyst IV will be a part of a team supporting development and implementation of case analysis work for reconciliation of data from the health insurance exchanges.

Key Responsibilities:

The Analyst is responsible for efficient and timely hands-on troubleshooting, remediation, coordination, escalation, tracking and management of complex consumer enrollment disputes. Also responsible for conducting research, workflow investigations, business procedures and making recommendations for improvement to all aspects of the casework adjudication process.

  • Identifying and solving customer information and processing problems

  • Applying triage, research, collaboration, and technical knowledge to resolve transaction and processing issues

  • Analysis of discrepancies in the eligibility reconciliation process for multiple stakeholders

  • Serving as a subject matter expert regarding the Health Insurance Marketplace

  • Provide day-to-day guidance to assigned team members when appropriate

  • Work with technical and development team to resolve identified issues in a timely manner

  • Review documented training material for accuracy and assist with end user training and support

  • Responsible for continuous process improvement of the reconciliation process.

  • Provide content to and for collaboration with training staff on training stakeholders on triaging transactions and the reconciliation process

  • Process 834 file submissions through Advanced Resolution

  • Undertake any additional duties as assigned by Manager

Required minimum qualifications:

  • Bachelor’s Degree or equivalent OR 4 years’ relevant experience in lieu of degree.

  • 2 years’ experience with federal data or projects (including but not limited to agencies such as CMS, IRS, DOD, VA, SSA or another federal agency).

  • Must be a US Citizen.

Candidates that do not meet the required qualifications will not be considered.

Preferred qualifications:

  • Experience with Affordable Care Act

  • Strong written and oral communication skills

  • Advanced customer service telephone skills and the willingness to make outbound and receive inbound telephone calls

  • Proficiency in Microsoft Word, Excel, Power Point, SharePoint

  • with Federal contracts desired

  • Experience with 834 enrollment transaction process desired

Compensation Ranges

Compensation ranges for ASM Research positions vary depending on multiple factors; including but not limited to, location, skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique to each role. Monetary compensation is one component of ASM's overall compensation and benefits package for employees.

EEO Requirements

It is the policy of ASM that an individual's race, color, religion, sex, disability, age, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.

All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, disability, or age. All decisions on employment are made to abide by the principle of equal employment.

Physical Requirements

The physical requirements described in "Knowledge, Skills and Abilities" above are representative of those which must be met by an employee to successfully perform the primary functions of this job. (For example, "light office duties' or "lifting up to 50 pounds" or "some travel" required.) Reasonable accommodations may be made to enable individuals with qualifying disabilities, who are otherwise qualified, to perform the primary functions.

Disclaimer

The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

58,000 – 66,000

EEO Requirements

It is the policy of ASM that an individual's race, color, religion, sex, disability, age, gender identity, veteran status, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.

All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, veteran status, disability, gender identity, or age. All decisions on employment are made to abide by the principle of equal employment.

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Case Analyst IV in Austin, TX vacancy
  •  ...selected candidate to work from the RRC office in Austin, Texas. The Railroad Commission of Texas seeks an experienced IT Business Analyst IV to perform highly advanced (senior-level) business analysis for the implementation of complex technology hardware and software... 
    Suggested
    Permanent employment
    Full time
    Work at office
    Remote work
    Work visa
    Monday to Friday
    Flexible hours
    Weekend work

    The Texas Comptroller of Public Accounts (CPA)

    Austin, TX
    3 days ago
  •  ...Job Description The Case Analyst II plays a significant role on a fully remote team supporting case analysis and reconciliation of data from the health insurance exchange. As a Case Analyst II, you will be part of a team empowered to collect and reconcile data from... 
    Suggested
    Contract work
    Remote work
    Flexible hours

    ASM Research, An Accenture Federal Services Company

    Austin, TX
    5 days ago
  • $5,425.33 - $7,155.75 per month

     ...Working at HHS webpage. Functional Title: Data Project Analyst Job Title: Data Analyst IV Agency: Health & Human Services Comm Department: Data...  ...staff. (25%) # Researches, reviews, and performs case-specific analytical work on large datasets involving cases... 
    Suggested
    Full time
    Temporary work
    Part time
    For contractors
    Work at office
    Remote work
    Shift work
    Day shift

    Texas Health and Human Services Commission

    Austin, TX
    2 days ago
  • $6,377.5 - $10,785.83 per month

     ...Benefits of Working at HHS webpage. Functional Title: Financial Analyst IV Job Title: Financial Analyst IV Agency: Health & Human...  ...10%) Prepares related documents used to support enforcement cases against contracted FMSAs and testifies at legal proceedings. (5... 
    Suggested
    Full time
    Contract work
    Temporary work
    Part time
    Work experience placement
    Work at office
    Remote work
    Work from home
    Shift work
    Night shift
    Day shift

    Texas Health and Human Services Commission

    Austin, TX
    2 days ago
  •  ...POSITION SUMMARY: The Senior Quality Assurance Analyst is responsible for ensuring that the application software that IT places into production...  ..., duties, and skills required: Experience evaluating use cases/software requirements to create test plans, test cases, execute... 
    Suggested

    Texas Windstorm Insurance Association / Texas FAIR Plan Asso...

    Austin, TX
    6 days ago
  •  ...about our studio at Description The Quality Assurance Analyst is responsible for for testing multiple aspects of our video game...  ...multiple environments and platforms Identify and test for edge cases outside of expected functionality Advocate for the player... 
    Local area
    Worldwide
    Night shift

    Daybreak Games

    Austin, TX
    2 days ago
  •  ...Operations Quality Analyst Q2 is a leading provider of digital banking and lending solutions to banks, credit unions, alternative finance...  ...monitoring and improving the quality of customer interactions, case management execution, and operational adherence across Support... 
    Work experience placement
    Work at office
    Work visa
    Flexible hours

    Q2

    Austin, TX
    5 days ago
  • $38 per hour

     ...detail-oriented professionals to join our team as Data Quality Analysts. This role sits at the center of execution and quality — bridging...  ...to Team Leads Identify patterns, recurring issues, and edge cases in both human and model outputs Participate in calibrations,... 
    Full time
    Contract work
    Remote work
    Visa sponsorship

    Welo Data

    Austin, TX
    24 days ago
  • The IT Business Systems Analyst contributes broad experience and a high level of expertise in business processes and system functionality...  ...non-business hours/weekends. * Gather requirements, write use cases, and direct development partners in the execution of enhancements... 
    Weekend work

    Direct Staffing Inc

    Austin, TX
    3 days ago
  • Overview Quality Assurance Analyst for HHSC - Agency: Health and Human Services Commission (HHSC) Solicitation Number: 529601661 Primary...  ...processes. Perform manual testing as required. Track test case execution. Establish regular automated schedules for test cases... 
    Contract work
    For contractors
    Local area
    Remote work
    Monday to Friday
    Night shift
    Weekend work

    Pedigo Staffing Services

    Austin, TX
    2 days ago
  • $38 per hour

     ...detail-oriented professionals to join our team as Data Quality Analysts. This role sits at the center of execution and quality — bridging...  ...to Team Leads Identify patterns, recurring issues, and edge cases in both human and model outputs Participate in calibrations,... 
    Full time
    Contract work
    Remote work
    Visa sponsorship

    Welocalize

    Austin, TX
    7 days ago
  • $5,098.66 - $6,701.75 per month

     ...the DSHS Careers Page. Review our Top 10 Tips for Success when Applying to State of Texas Jobs. Functional Title: Systems Analyst IV Job Title: Systems Analyst IV Agency: Dept of State Health Services Department: HAI Quality Assurance Posting Number: 1405... 
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Local area
    Remote work
    Shift work
    Day shift

    Texas Health and Human Services Commission

    Austin, TX
    4 days ago
  •  ...to join our team. We are looking to add a Business Systems Analyst to our team. If you enjoy working in a startup environment and...  ...automation. Improve data capture for future Account Management use cases, identifying front-end requirements and collaborating with... 
    Permanent employment
    Full time
    Contract work
    Work experience placement
    Local area

    CesiumAstro

    Austin, TX
    3 days ago
  •  ...Commission Information Technology Division is seeking a Business Analyst 2 to provide business and systems analysis in support of the...  ...dependency analysis. 8 Required Experience documenting use cases, user stories, acceptance criteria, business rules, process flows... 

    Novalink Solutions

    Austin, TX
    4 days ago
  • $4,833 - $7,100 per month

     ...IT Business Analyst (IT Business Analyst I-III) Organization: Texas Water Development Board Primary Location: Texas-Austin Work...  ...Reviews, assesses, and documents business processes. Creates test cases and validates user acceptance testing. Performs post-... 
    Full time
    Work experience placement
    Work at office
    Local area
    Flexible hours
    Shift work
    Night shift
    Weekend work
    Early shift

    CAPPS, Inc.

    Austin, TX
    5 days ago
  • $75k - $85k

     ...QA Analyst – Financial Calculations The QA Analyst – Financial Calculations is a hands-on role dedicated to ensuring the accuracy of...  ...and verify that all outputs are correct. Write detailed test cases and scenarios based on release changes and specific financial requirements... 
    Work at office
    Worldwide
    Flexible hours

    AssetMark

    Austin, TX
    4 days ago
  •  ...Job title: Senior Business Analyst Location: Austin Texas Type: Contract - Onsite Rate: $60/hr on W2 Must: In-Person Interview...  ...systems and functional areas. Develop and review test cases, process change requests, and manage project scope, acceptance,... 
    Contract work
    For contractors

    Seneca

    Austin, TX
    4 days ago
  •  ...and within scope. Mentor and provide guidance to junior Business Analysts (BA I/II); review their work, conduct training sessions, and...  ...functional and non-functional specifications, user stories, use cases, BPMN process flows, and data models while leading end-to-end service... 
    Full time
    Work experience placement
    Work at office
    Remote work

    Texas Alcoholic Beverage Commission

    Austin, TX
    5 days ago
  •  ...Senior Business Analyst CBIZ is seeking a Senior Business Analyst to join our Business Intelligence & Data Insights team within the...  ...business requirements, translating them into clear analytics use cases, KPIs, dashboards, and reporting requirements. Act as a trusted... 

    CBIZ

    Austin, TX
    1 day ago
  • Overview The Portable Radio Program is seeking a qualified CM/ILS SME who brings extensive experience in defense life‑cycle logistics and configuration management for complex electronic and C4ISR systems. The ideal candidate will possess deep expertise in Integrated Logistics...
    Temporary work
    Work experience placement
    Work at office
    Flexible hours

    DHL Holdings Corp

    Austin, TX
    3 days ago
  •  ...are secure and optimized. We are looking for a Business Analyst to join our Product Management team. In this role, you'll...  ...clear, structured documentation, including user stories, business cases, and process flows, to support development and strategic decision... 
    Casual work
    Work at office
    Local area

    Lightspeed Systems

    Austin, TX
    4 days ago
  •  ...according to Agency standards. (2) Convert existing use cases to actionable user stories/epics/acceptance criteria in Jira....  ...the field or related technology field as senior level Business Analyst 5 Preferred Working knowledge of Agile... 
    Remote work
    Monday to Friday

    LMG Technology Services LLC

    Austin, TX
    2 days ago
  • $54.63 per hour

     ...specifications, MVP definitions, and release plans. Lead integration initiatives involving Genesys Cloud, AI-powered platforms, CRM and case management systems, workflow orchestration tools, and internal and external APIs to enable scalable, unified, and efficient customer... 
    Hourly pay
    Full time
    Local area
    Flexible hours

    Aditi Consulting

    Austin, TX
    5 days ago
  • $40 - $42 per hour

     ...Job Title: BUSINESS ANALYST L3 City: Austin State/Province: Texas Posting Start Date: 5/22/26 Wipro...  ...feedback/ inputs on the proposed solution Review the test cases to check 100% coverage of customer requirements Conduct root... 
    Minimum wage
    Local area

    Wipro

    Austin, TX
    3 days ago
  •  ...Senior Business Analyst (Technical) 4-7 years of experience in the field or in a related area as a senior Business Analyst (Technical...  ...which must link business needs to functional requirements to test cases. c) Updated e-mail templates for automated system e-mails.... 
    Contract work
    For contractors

    Lumen Solutions Group Inc.

    Austin, TX
    3 days ago
  •  ...Role: Business Analyst III Location: Stephen F. Austin Building, 1700 N. Congress, Austin, Texas 78701 - Onsite Contract...  ...assignments, or special initiatives. Develop and review test cases; process change requests; and manage a project's scope,... 
    Contract work
    For contractors

    Lorven Technologies

    Austin, TX
    4 days ago
  •  ...The Business Analyst III reports to the Director of Administration and is responsible for defining business solution recommendations and...  ...The Senior Business Analyst produces functional requirements, use cases, data mappings, data dictionaries, software specifications and... 
    Flexible hours
    Shift work

    Texas State Library and Archives Commision

    Austin, TX
    1 day ago
  • $74.25k - $111.38k

     ...TPA Business Analyst HeadQuarters CGS - Austin, TX 78717 Overview Salary Range $74,250.00 - $111,375.00 Salary/year Position Type...  .... Develop functional specifications, process maps, and use cases to support system enhancements and process improvements. Support... 
    Weekly pay
    Full time
    Temporary work
    Work experience placement
    Work at office
    Flexible hours

    Continental General

    Austin, TX
    4 days ago
  •  ...Job title: Senior Business Analyst Location: Austin, TX Duration: Long Term Job Description: The Texas Health and Human Services...  ...dependency analysis. 8 Years of Experience documenting use cases, user stories, acceptance criteria, business rules, process... 

    Esolvit

    Austin, TX
    2 days ago
  • $127.59 per hour

     ...Solicitation Reference Number: 529701733 Working Title: Business Analyst 3 Title/Level: Business Analyst 3 Category: Applications/...  ...or extended providing both parties agree to do so in writing. IV. WORK HOURS AND LOCATION Services shall be provided during... 
    Hourly pay
    Daily paid
    Full time
    Contract work
    For contractors
    For subcontractor
    Work at office
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Weekend work
    Afternoon shift

    System Soft Technologies

    Austin, TX
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Case Analyst IV. Be the first to apply!