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Business Analyst

InSync Consulting
Roseville, CA
  • Posted: over a month ago
  • $30 to $50 Hourly
  • Full-Time
  • Benefits: medical, dental,
Job Description

InSync Consulting seeking a talented individual for a Business Analyst to work (remote from home during Covid) and normally onsite at our client’s location in Roseville, CA. Fantastic company culture! The interview process and turn around to hire for this position will happen very quickly. If you are qualified and interested in this position, please apply now. The ideal candidate is a used to a fast paced, high performance environment. A seasoned achievement oriented individual would do well in this position.  The Business Analyst is responsible for analysis, reporting, process improvements, and quality assurance to support the Medicaid or Medicare Integrity contract operations. This position is also responsible for ensuring assigned deliverables meet client quality standards for accuracy, timeliness, and cost.

Essential Responsibilities:

  • Conducts research and ongoing monitoring of relevant Medicare specific billing/reimbursement regulations.
  • Conducts claims research using the appropriate systems.
  • Coordinate prepare and analyze all operational reporting to support HMS Federal program integrity services such as, productivity, pending inventory, aging reports, denial rates, and appeal overturn rates, etc.
  • Provide root-cause analysis and expertise when compiling and reporting operational results and contract deliverables.
  • Provide analytical support and ad hoc reporting including design and database queries to extract necessary data.
  • Use independent judgment and initiative to review, analyze and develop solutions for operations and reporting requirements. Identify and quantify the business impact of those solutions.
  • Analyze business functions in order to identify process improvement and/or cost saving opportunities
  • Leverage technology and data to automate processes and improve results.
  • Proactively identify and develop solutions to resolve critical issues

Non-Essential Responsibilities:

  • Performs other functions as assigned

Knowledge, Skills and Abilities:

  • Strong analytical and reporting skills with an aptitude for not only delving into the details, but also stepping back to see the big picture to identify issues.
  • Microsoft Office skills including Excel, Power Point, and Word required.
  • Independent thinker, logical, strategic, with a high focus on problem resolution and attention to detail.
  • Outstanding verbal and business writing communication skills as well as strong presentation skills.
  • Ability to work independently and within cross-functional teams required
  • Demonstrated ability to meet and exceed project deadlines while producing high quality products.
  • Technical writing skills and ability to produce work free from typographical or spelling errors.
  • Pro-active and results focused attitude.
  • Willingness and ability to work additional hours to ensure reporting deadlines are met.
  • Ability to maintain high quality work while meeting strict deadlines.
  • Working knowledge of HIPAA Privacy and Security Rules and CMS
  • Influence and promote change in order to improve performance results, organizational effectiveness and systems/quality/ services.
  • Knowledge of Medicare/Medicaid Regulations, Claims Processing, and Reimbursement Methodologies preferred.
  • As an essential function, this position is responsible for complying with the company’s Corporate Compliance Program as it applies to the individual job duties, the department, and the company.

Work Conditions and Physical Demands:

  • Primarily sedentary work in a general office environment
  • Ability to communicate and exchange information
  • Ability to comprehend and interpret documents and data
  • Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)
  • Requires manual dexterity to use computer, telephone and peripherals
  • May be required to work extended hours for special business needs
  • May be required to travel at least 10% of time based on business needs

Minimum Education:

  • Bachelor’s degree in Accounting, Finance or Management, or business related field. (required)

Minimum Related Work Experience:

  • 3+ years related work experience with a minimum of 3 years deeply involved in designing, creating, and analyzing reports. Crystal Reports or Business Objects experienced strongly preferred
  • 3+ years working in either fraud examination or Medicaid/Medicare; experience with data analysis, program integrity, fraud and abuse, and cost avoidance preferred.
  • Experience related to Federal Government, State Government or Managed Care Healthcare contracts required.
  • Proven track record monitoring results and tackling problems directly and with urgency.
  • Demonstrated ability to fluently describe business operations, key trends, and results against plan.

 

Company Description
InSync Consulting Services LLC is a exponentially growing firm in Northern California, dedicated to providing the best personal service

InSync Consulting

Why Work Here?
24/7 assistance, top tier service and pay packages

InSync Consulting Services LLC is a exponentially growing firm in Northern California, dedicated to providing the best personal service

Address

Roseville, CA
USA

Industry

Business

Website

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