Medicaid Business Operations Specialist
3 days ago
About the Role:
We are seeking a highly motivated and experienced Business Analyst to join our dynamic technology team at Alivia Analytics. The ideal candidate will possess a strong understanding of Medicaid operations, healthcare systems, and business processes.
This role plays a pivotal part in bridging the gap between business requirements and technological solutions, contributing to the enhancement and optimization of our platform for achieving healthcare payment integrity.
The successful candidate will be assisting a high-energy team in implementing an end-to-end cloud-based, integrated solution for our clients in a role with high potential for career growth.
Primary Responsibilities:
- Gaining business user consensus via sessions to define functional requirements as part of an implementation of a COTS application used to manage healthcare claims payment integrity.
- Evaluating and assessing current processes, identifying opportunities for improvement, automation, and increased efficiency.
- Collaborating with stakeholders, including program managers, policy experts, and technical teams, to elicit, document, and analyze business requirements related to healthcare operations.
Required Skills and Qualifications:
- Minimum 10 years in Information Technology as a Business Analyst on large-scale, healthcare system implementations.
- A minimum of 5 years Medicaid (MMIS) or Healthcare payer background is required.
- Strong understanding of Medicaid policies, regulations, and healthcare operations.
Estimated Salary: $120,000 - $180,000 per year.
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