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Business Analyst

3 months ago

Phoenix, United States NTT DATA Full time

Req ID:286087

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Business Analyst to join our team in Phoenix, Arizona (US-AZ), United States (US).

Overview of job:

The successful candidate will work as part of a team providing Program Integrity support for a state Medicaid Program. Working under the direction of the team manager, they will actively participate in the delivery of tasks/activities and associated deliverables. In collaboration with other NTT DATA consultants, the selected candidate will work directly with state business staff and vendors to support the analysis of claims and state policy to identify and prevent fraudulent activity.

Job Responsibilities Include:

  • Review and understand state Medicaid policy
  • Interface with state business users
  • Perform clinical analysis of claims data against policy and/or suspicious behavior
  • Identify and report project issues and risks
  • Research and provide recommendations to the client on claims edit changes to support policy
  • Collaborate with team members to provide subject matter expertise and assistance
  • Develop and present formal presentations to business leaders and team members, making applicable recommendations
  • Participate and/or lead in the creation of presentations and other materials for end user training

Required Qualifications:

  • Minimum 8 years of experience evaluating criteria and guidelines in determining eligibility
  • Minimum 2 years of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations
  • Minimum 8 years of experience supporting Program Integrity and Utilization Review
  • Undergraduate degree or 8 years additional relevant experience
  • 2+ years of leveraging clinical experience and knowledge to support program integrity and utilization review

Preferred Skills:

  • Experience working within Federal and State regulations
  • Experience working in utilization management for healthcare
  • Experience working with Milliman Guidelines

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $68,904 to $105,000. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.
This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short and long term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally-required benefits.

About NTT DATA Services

NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.