Business Analyst, Provider Data Management
Independent Living Systems, LLC
full-time
Posted on:
Location Type: Office
Location: Miami • Florida • United States
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About the role
- Analyze and document current provider data management processes and identify areas for improvement.
- Collaborate with stakeholders across departments to gather and validate business requirements related to provider data.
- Develop and maintain detailed functional specifications and process documentation.
- Support data quality initiatives by identifying discrepancies, coordinating data cleansing efforts, and monitoring data accuracy.
- Work closely with IT and data teams to translate business requirements into technical solutions and ensure successful implementation.
- Facilitate communication between business users and technical teams to resolve issues and optimize data workflows.
- Assist in the development and delivery of training materials and user guides related to provider data management systems.
- Generate and analyze reports to track data quality metrics and support compliance with regulatory standards.
Requirements
- Associate's degree in Business Administration, Information Systems, Healthcare Administration, or a related field.
- 3+ years of experience in business analysis, preferably within healthcare or provider data management.
- Familiarity and understanding of provider contracts.
- Proficient knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data managementbusiness analysisdata qualityprocess documentationfunctional specificationsdata cleansingreport generationclaim adjudicationMedicare reimbursementMedicaid reimbursement
Soft Skills
collaborationcommunicationproblem-solvingstakeholder engagementtraining developmentanalytical thinkingattention to detailfacilitationorganizational skillsinterpersonal skills
Certifications
Associate's degree in Business AdministrationAssociate's degree in Information SystemsAssociate's degree in Healthcare Administration