Analyst

• support the Quality Management Program through multiple clinical, service and operational activities
• driving continuous quality improvement in patient safety and improvements in efficiency and effectiveness
• supporting activities to measure clinical programs and service processes and outcomes
• reviews, investigates and monitors assigned clinical and quality activities
• follow up with internal medical executives/directors, external health care professionals/facilities, and individual customers
• presentation to the Peer Review Committees
• implement partnerships and participate in initiatives focusing on reducing health disparities
• collect and analyze data, develop studies and reports to workgroups and support quality committee activities
• review clinical metrics and data and monitor for patient safety
• support provider performance measurement activities
• define and document policies, standard operating procedures, workflows and processes
• participate and lead special workgroups and process improvement teams as needed
• support regulatory compliance activities as needed

Lead Analyst, Nurse Quality Clinical Management

• Lead the PACE team and support daily management operations of the sleep therapy queue
• Review work in progress to ensure timely completion and alignment with team priorities
• Monitor team workload and ensure adequate queue coverage to maintain service levels
• Provide coaching, guidance, and day-to-day support to team members
• Manage escalations by identifying issues, coordinating resolution, and communicating updates
• Assist with data analysis to identify workflow trends, gaps, and opportunities for operational improvement

Nurse Case Management Lead Analyst

• Manage small and moderately complex projects
• Establish and implement new or revised system requirements or procedures
• Analyze user requirements, develop and implement systems for moderately complex processes
• Coordinate activities of project team and act as a source for direction, training and guidance for less experienced departmental staff

IS Applications Analyst – Tapestry AP Contracts

• Design, develop, and maintain operational reports and dashboards using Tableau and Power BI
• Write and optimize SQL queries to extract, transform, and analyze data from various sources
• Ensure data integrity through validation, cleansing, and documentation
• Collaborate with stakeholders to gather requirements and deliver insights aligned with business goals
• Lead analytics projects or components of larger initiatives, ensuring timely delivery and quality outcomes
• Continuously improve reporting processes and identify opportunities for automation and efficiency

Senior Business Analytics Analyst

• Coordinate with citizen developers to ensure adherence to automation standards
• Lead technical upskilling initiatives and provide mentorship
• Design robust solutions in collaboration with teams
• Oversee the lifecycle of citizen projects and validate outputs
• Conduct rigorous software testing and manage technology administration

Lead Analyst, Technology & Automation

• Perform tasks required to process voice and/or graphic language materials in support of SIGINT operations
• Recover essential elements of information
• Render translations and/or transcripts that are complex and sophisticated written and/or spoken material
• Gist straightforward, factual written and/or spoken material

Chinese Cryptologic Language Analysts

• Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes
• Collaborate with internal and external clients to understand, and evaluate processes, procedures, job aids and identify solutions for procedural gaps
• Analyze business and user requirements to design solutions and system configurations, specifications, create test plans/use cases perform SI testing, end to end testing and continuously improve adjudication automation and accuracy
• Partner with technology and analytics teams to develop new data sources for reporting and act as liaison between business and technology to execute project initiatives, and resolve issues
• Provide support with production issues as needed

Senior Claims Systems Analyst

• Responsible for account receivable activity for a specific Provider Book of Business tied to account management team
• Key partner to Provider Relations Executives (PRE) and Managers (PRM) supporting strategic planning to improve provider experience
• Ensure timely and accurate claims administration, proactively monitor results, and leverage resources and tools to assist Health Care Providers in managing their accounts receivables
• Provide direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs
• Regularly meet with assigned Health Care Providers to discuss results, review issue trends, and develop action plans for improvement
• Engage matrix partners to achieve service improvements and minimize contract interpretation issues
• Communicate and educate internally regarding issues/trends to minimize errors and improve claim accuracy
• Monitor contractual performance guarantees and late payment interest to minimize financial impacts

Provider Services Lead Analyst

• Review current Behavioral strategies
• Develop formal behavioral support plans
• Conduct staff training and oversight
• Perform periodic reviews for efficacy

Board Certified Behavior Analyst, Virtual or In-person

• Handling patient access queries using Epic software
• Managing referrals and scheduling
• Collaborating with healthcare team to improve access process

Patient Access Analyst

• The Identity Access Management (IAM) Analyst is responsible for providing enterprise-wide support to fulfill account and role provisioning requests in a timely manner.
• Works closely with business units to ensure accounts and roles are provisioned according to business needs while adhering to access management program guidelines and bank security policies.
• Assists with collecting and reporting performance metrics, training and supporting team members, and leading reviews for various audits.

IAM Analyst

• Build and refine new-hire ramp models
• Track provider progression over time
• Create clear diagnostics for leaders
• Measure training and LMS impact
• Deliver simple, clinic-level business plan packages
• Partner with Learning & Development to shape training
• Develop and test compensation scenarios

Senior Analyst – Provider Platform

• Provide hands-on clinical support under BCBA supervision
• Assist RBTs with program implementation
• Conduct probes and program updates
• Participate in parent training
• Collaborate with school staff on goals

BCaBA – Board Certified Assistant Behavior Analyst, Full Time

• Support RBTs with implementation of BCBA-developed programs
• Assist with RBT onboarding and training
• Conduct probes and update programs under BCBA direction
• Review session data for BCBA

BCaBA, Part Time

• Supports the development and maintenance of Medicaid Fee-for-Service pharmacy pricing and modeling aligned with the company’s mission, strategies, products, and services.
• Oversee core analytical work related to SOW requirements, including, Medicaid MAC pricing analysis, and 340B program impacts and compliance considerations.
• Develop, maintain, and enhance cost analysis and predictive trending models to support Medicaid FFS programs, segmented by SOW, pricing methodology, or program initiative.
• Lead and manage the capture, ingestion, and maintenance of external pricing files (e.g., NADAC, state MAC files, other benchmarks), including, performing data quality checks and validation, identifying and correcting anomalies or errors, conducting timely market research to support pricing accuracy and responsiveness, and resolve or escalate discrepancies, variance, or other anomalies.
• Create and maintain a formal Tier 2 inquiry process for MAC-related issues, including tracking inquiry volume, documenting resolution and outcomes, assessing financial and operational impact, and supporting trend analysis and escalation.
• Collaborate with other leaders to interpret and apply Medicaid regulations, state-specific requirements, and program initiatives to analytical models, pricing strategies, and reporting outputs.
• Collaborate with internal stakeholders (e.g., Client Services, Contracting, Operations, Compliance) to evaluate the financial and contractual impact of Medicaid pricing and program decisions.
• Interact with external stakeholders and vendors, building collaborative relationships to support pricing accuracy, data transparency, and program execution.
• Support leadership with ad hoc analysis, forecasting, and scenario modeling related to Medicaid FFS pricing, program changes, and regulatory developments.
• Assist leadership in supporting new Medicaid program initiatives, enhancements to pricing methodologies, and expansion of analytical capabilities.
• Contribute to the development of client- or state-facing materials and presentations, as needed, to explain pricing methodology, cost drivers, and program impacts.
• Periodic and detailed reporting of activities and opportunities to leadership.
• Other duties as assigned.

Senior Analyst, Government Pricing

• Maintain and administer Medicaid fee for service drug pricing methodologies in accordance with federal and state Medicaid requirements.
• Monitor and incorporate National Average Drug Acquisition Cost (NADAC) updates and related CMS guidance into pricing models and operational systems.
• Evaluate and apply HRSA 340B ceiling price considerations and exclusions as applicable to Medicaid reimbursement models.
• Ensure pricing methodologies align with state specific Medicaid reimbursement rules and contractual requirements.
• Accountable to cross-walk FDB to Medispan or visa versa to ensure compliance with State Medicaid Prescription Drug List and ensure ongoing reconciliation and updates.
• Support compliance with federal and state audit, reporting, and transparency expectations related to Medicaid drug pricing.
• Maintain and manage industry pricing and reference sources, including but not limited to Medi Span multisource and product codes (e.g., MONY indicators), NADAC pricing files, and HRSA 340B ceiling price date.
• Validate integrity, completeness, and timeliness of reference data used in pricing and modeling and resolve or escalate discrepancies.
• Assess industry changes that may impact Medicaid pricing assumptions or reimbursement outcomes.
• Maintain, and update financial models supporting Statements of Work (SOWs) for Medicaid fee for service pricing arrangements.
• Perform detailed pricing impact analyses to support SOW development, amendments, and renewals.
• Manipulate and analyze large data sets specific to SOW requirements, pricing guarantees, and reimbursement terms.
• Partner with internal stakeholders to ensure SOW pricing assumptions are accurate, documented, and supportable.
• Other duties as assigned.

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