Experienced Business Analyst
4 weeks ago
We are seeking an experienced Business Analyst to join our team at Gainwell Technologies LLC. As a Business Analyst, you will play a critical part in ensuring our clients' objectives are met in important areas.
Key Responsibilities- Serve as the lead policy analyst on assigned areas, to include quarterly updates involving compliance with national code sets, and ensure assigned implementation deadlines are met.
- Help coordinate a business analyst team's duties and activities on IT projects and nurture newer team members by providing guidance and support.
- Be a knowledgeable bridge between clients, project managers, and technical staff to define, document, and share business requirements and expected impact.
- Analyze, plan, design, document, or make recommendations to improve business processes to support clients' technology goals.
- Help verify that all requirements have been met by approving and validating test results.
- Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work.
- Three or more years of experience in a relevant Business Analyst position with 1 or more years of Medicaid and Medicare experience preferred.
- RHIT coding degree, requiring a knowledge of Anatomy & Physiology, which includes extensive prior healthcare knowledge to apply reimbursements and to revise code.
- Knowledge and experience to maintain and update national coding systems within the Kansas Modular Medicaid System (KMMS) which include DRG, ICD, and CPT codes.
- Serve as a resource for Gainwell Technologies and the State Medicaid Agency on questions related to Health Information Management including but not limited to proper use of code sets, proper reimbursement methodologies, and claim payments.
- Monitor the initiation, revision, and implementation of external regulations, statutes, and standards while facilitating the implementation of regulations and ensuring organizational compliance.
- Coordinate and communicate with the State of Kansas Medicaid Agency regarding changes impacting the KMMS.
- Fully remote options from most US locations and territories.
- Video cameras must be used during all interviews, as well as during the initial week of orientation.
- The pay range for this position is $69,400.00 - $99,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader.
We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
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