Senior Analyst
2 months ago
At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human services clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team.
What We Offer:
- Health, Dental, and Vision insurance along with other competitive employee benefits
- Vacation time, sick time, paid holidays, and two floating holidays
- Paid Parental Leave and available support resources
- 401K with company matching for eligible employees
- Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
- A combination of technical and leadership development training at each career milestone
- Up to six counseling sessions per year for eligible employees through our Employee Assistance Program
The Senior Analyst will work with a multi-disciplinary team of other analysts, clinical, and technology staff in performing analyses of non-financial and financial information, verifying integrity of data, performing detailed analysis to determine compliance with Federal regulations, state Medicaid policies, and other applicable laws. The Senior Analyst will prepare written documents supporting professional decisions and will perform other types of related tasks involving health care program integrity. The Senior Analyst will be responsible for supervising team members and managing small projects.
Essential Functions:
- Conduct research in order to determine compliance with relevant Medicaid or other government program regulations
- Assist with performing various analyses relating to Medicaid engagements
- Review applicable Federal and State Medicaid policies and regulations relating to managed care, healthcare eligibility, reimbursement, and quality incentive programs
- Review, summarize, and apply policies and regulations specific to various analyses and audits
- Demonstrate excellence in communication skills, data gathering, analysis, reporting, and process improvement
- Maintain security and confidentiality of all protected health information when analyzing material
- Maintain thorough electronic documentation and active communication
- Prepare and distribute analytical data reports and/or records utilizing information gathered from variable subject matter
- Work with the defined scope of the project
- Mentor, train and provide assistance to other team members
- Handle phone calls and e-mails from various stakeholders including providers, managed care plans, and government agency representatives to answer any questions
- Additional responsibilities as assigned
- Bachelor's degree in Accounting, Finance, health policy or related field required
- CPA, CPA eligible, CFE, preferred
- Minimum 2 years of relevant experience, program integrity and managed care experience preferred
- Proficient use of applicable software programs, including Microsoft Word, Excel, Access, Windows
- Must have strong ability to analyze data to identify issues and potential fraud, waste and abuse
- Organized and detail oriented with strong problem solving skills and proficient communication
- Demonstrated ability to communicate verbally and in writing with all levels of an organization, both internally and externally
- Effectively multi-task with planning and efficiency
- Must be able to manage multiple deadlines and prioritize assignments
- Ability to work in a team environment
- Must be able to travel based on client and business needs
The Team:
Myers and Stauffer takes pride in the welcoming and collaborative culture we have throughout our offices. For this position, the employee will report to one of our Managers or Senior Managers on the Benefit/Program Integrity engagement team.
Work Style:
Our general business hours are Monday through Friday 8am-5pm, but can vary based on business needs. Dependent on performance, our in-office associates are eligible for a hybrid work schedule after their initial 90-day training period. As a company, we are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.
Typical Interview Process:
- Phone Screen with a Recruiter
- In person or remote interview with the hiring manager & team
- Hiring decision and job offer
#LI-MM3
#LI-Hybrid
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