Business Analyst, Healthcare

This is a fully remote position, open to applicants in Florida.

📋 Description

• Collaborate effectively with clients and team members to investigate, validate, and document business requirements.

• Aid in converting client requests and modifications into the Medicaid Management Information System (MMIS).

• Prepare necessary materials for client meetings.

• Update Operating Procedure Manuals as necessary.

• Partner with clients on change requests, publications, and claims adjustments/reprocessing.

• Research, identify, and provide solutions to issues.

• Document all updates related to reference modifications or changes.

⛳️ Requirements

• Minimum of 3 years experience as a Business Analyst in healthcare claims is required.

• Certification as a coder is preferred.

• Proficient in CPT, HCPCS, and ICD-10 coding.

• Capability to collaborate in a team setting, including updating reference systems for coding (CPT, HCPCS, ICD-10) and benefit plan coverage.

• Strong skills in Excel.

• Exceptional verbal and written communication abilities, with a talent for establishing strong working relationships.

• Competence in creating and maintaining manual documentation and assisting with provider notifications.

🏝️ Benefits

• Generous and flexible vacation policy.

• Educational assistance.

• Comprehensive health benefits.

• 401(k) employer match.