ASO Business Analyst

Voto Consulting LLC is seeking an ASO Business Analyst to support administrative services-only health plan operations. The role focuses on gathering requirements, documenting and configuring benefits, supporting pricing and underwriting, managing stop-loss requirements, structuring risk-sharing programs, and contributing to network strategy and product development.

Responsibilities:

• Gather requirements, create documentation, support benefit configuration, and translate business needs into actionable implementation requirements
• Prior TPA or self-funded health plan experience is strongly preferred
• Support pricing and underwriting activities for administrative services arrangements
• Develop and evaluate PEPM pricing models, implementation charges, and network access costs
• Manage stop-loss requirements, including placement, administration, and overall strategy
• Structure shared-savings programs and various risk-sharing arrangements
• Define performance guarantees and service-level expectations
• Contribute to ASO network strategy, design, and development of new product offerings

Requirements:

• Prior TPA or self-funded health plan experience