Business Analyst, Healthcare

🕒 3 days ago

🐊 Florida – Remote

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💵 $55.6k - $79.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

🦅 H1B Visa Sponsor

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Logo of Gainwell Technologies

Gainwell Technologies

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Work collaboratively with the client and team members to research, validate and document business needs • Assist with translating client requests and changes into the Medicaid Management Information System (MMIS) • Ensure that items are prepared for client meetings • Ensure Operating Procedure Manuals are updated as required • Work with the client on change requests, publications and claim adjustments/reprocessing • Research, identify, and specify solutions to problems • Document updates for all reference updates/changes

🎯 Requirements

• 3+ years as a Business Analyst with healthcare claims experience required • A Certified coder is preferred • Proficiency in CPT, HCPCS, and ICD-10 coding • Ability to work collaboratively in a team environment, including making updates to reference systems for coding (CPT, HCPCS, ICD-10) and benefit plan coverage • Strong Excel skills • Excellent verbal and written communication skills with the ability to build strong working relationships • Ability to create and maintain manual documentation and support provider notifications

🏖️ Benefits

• generous, flexible vacation policy • educational assistance • comprehensive health benefits • 401(k) employer match

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