6 month contracting position for a Sr. Business Analyst who has healthcare claims experience.
Location : MN
Client : HP
Primary Responsibilities:
This position is part of a team focused on government healthcare program integrity initiatives. Highly desirable are candidates with previous experience with health care claims data, Medicaid/Medicare, and fraud and abuse.
• Responsible for end-to-end business process activities
• Create, control and improve business processes
• Lead process design and project implementation teams in process improvement activities
• Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools
• Responsible for quality reporting, analysis and audits and for developing plans and programs to support continuous quality improvement using applicable tools.
• Evaluate, interpret, and analyze information and data across divisions and departments
• Collaborate on problem resolution, team decisions, and project planning
• Responsible for documenting and analyzing business requirements and complex business processes across the organization to introduce process and quality improvements
• Must be capable of managing multiple, interrelated process improvement channels simultaneously which will require the ability to gain a high level understanding of the organization's business systems
• Work with project team to identify the gaps between the current state and the future (desired) state of the project
• You will have to develop innovative, transformational process improvements by working with stakeholders and will effectively communicate these proposed changes to impacted business units, team members, stakeholders and will have to develop, recommend and facilitate quality improvements
• Ability to work in a dynamic, face-paced environment and work with minimal direction and structure
• Important skills include: analytical skills, attention to detail, quality oriented, self-starter, team player
Highly desirable are candidates with previous experience with health care claims data, Medicaid/Medicare experience, and fraud and abuse knowledge
Assets:
• Experience in healthcare fraud and abuse
Qualifications:
• Bachelor’s Degree
• 3 years experience with healthcare claims operations and processes and/or healthcare fraud knowledge.
• 3 years experience in collecting, analyzing, and presenting data and making recommendations to management, as well as conducting business studies and recommending solutions is required
• 5 years experience with process improvement, workflow, benchmarking and/or evaluation processes is required
• 3 plus years of experience with Medicaid or Medicare claims desired
• Proficiency in Visio, Excel, Word, PowerPoint and SharePoint is required
Thanks & Regard’s
Satish Anreddy
Accounts Manager
Manchester, NH, 03104
E-mail: Satish@tek-linx.com
Direct: (603) 263 0314
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