Identifying, analyzing, and validating overpayment recovery opportunities
Translating moderately complex and varied business needs into business cases or business requirements document (BRD)
Creating data mining queries that will contribute to cost of care savings
Migration of datamining concepts and ensuring new systems meet department needs
Auditing claims payment to identify overpayment scenarios
Determining specific business application software requirements to address complex business needs
Developing project plans and identifying and coordinating resources
Working with programming staff to ensure requirements will be incorporated into system design and testing
Acting as a resource to users of the software to address questions/issues
Providing direction and guidance to team members and serves as an expert for the team.

Requirements

Requires a BA/BS and minimum of 5 years business analysis experience; or any combination of education and experience which would provide an equivalent background.
Knowledge of systems capabilities and business operations is strongly preferred.
Ability to manage multiple projects in various stages to completion preferred.
In-depth knowledge of WGS claims processing, reimbursement policies and procedures preferred.
Strong analytical and problem-solving skills with research-oriented approach preferred.
Proficiency in Microsoft Excel preferred.

Benefits

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
paid holidays
paid time off
medical benefits
dental benefits
vision benefits
short and long term disability benefits
wellness programs
financial education resources

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills

data miningbusiness requirements documentproject planningclaims auditingbusiness application softwaresystems designtestinganalytical skillsproblem-solvingMicrosoft Excel

Soft skills

communicationteam leadershipresource coordinationuser supportguidance

Certifications

BABS