Analyst

• Conducts investigations in accordance with investigative action plan and documents all findings in standard with SIU Policies and Procedures
• Identifies errors and control deficiencies.
• May be required to provide deposition and/or testimony
• Conduct interviews of victims, subjects and/or other related persons
• Prepares and conducts presentations and/or provides content for health care fraud and abuse education and awareness.

Senior Fraud Investigations Analyst

• Review and analyze criminal records to assess applicant eligibility and mitigate risks for clients
• Develop expert knowledge of screening software and maintain compliance with Fair Credit Reporting Act (FCRA) regulations
• Manage and respond to inquiries from clients and consumers via phone and email
• Provide guidance to clients and consumers on the next steps in the screening process
• Deliver accurate and timely updates on open tasks to relevant stakeholders
• Assist peers and co-workers with workload management and problem resolution
• Participate in ongoing training sessions and team meetings

Background Verification Analyst

• Work closely with relevant departments to secure customer data and financial statements
• Perform credit analysis for new and existing customers and assess the credit risk associated with the proposed or assigned credit line
• Perform in-depth financial analysis and provide recommendations to support management decision-making
• Create ad-hoc analyses, executive summaries, and recurring reporting to support management decision-making
• Monitor and analyze key economic indicators across AMER, EMEA, and APAC
• Identify potential risks and opportunities within the Global customer portfolio
• Perform cash flow analysis and create customer forecasts
• Conduct research and conceptualize new techniques, ideas, and solutions for a variety of credit challenges
• Provide relevant departments with critical updates on the financial condition of their customers
• Partner with Sales and Sales Operations to support order management decisions by monitoring credit exposure, past-due trends, and dispute risk
• Work as one global team: coordinate and facilitate credit and collections efforts with close communication and collaboration across regions
• Enforce credit policies and procedures

Analyst II – Credit

• 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

• Lead role responsible for all aspects of the software development lifecycle for both package and custom developed applications
• Works independently with limited supervision to design, develop, test, deploy and maintain software solutions
• Manage large projects and processes through the entire system development lifecycle
• Provide time and cost estimates for proposed changes resulting from the requirements
• Coordinate and communicate development activities with other team members, infrastructure personnel, vendors and management

IT Gas Measurement Application Analyst IV

• Research, interpret, and apply coding, payer, and regulatory requirements to support accurate and compliant Professional and Hospital coding practices
• Develop, maintain, and update coding guidance, standard work, reference materials, and position statements to ensure enterprise consistency
• Coordinate and support coding quality audits by routing requests, maintaining records, and verifying documentation completeness and accuracy
• Analyze coding quality data and audit results to identify trends, risks, and opportunities for improvement
• Partner with Integrity Operations, coding leadership, clinicians, and education teams to improve documentation quality and coding accuracy

Integrity Analyst – Facility Coding Quality, Inpatient

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

Patient Access Analyst

• 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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