Hybrid Business Analyst

Posted 2 months ago

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About the role

  • Maintain and update the GE/Centricity/IDX Managed Care Application (MCA) module for US Family Health Plan's managed care line of business
  • Build fee schedules, provider and vendor dictionary entries, and plan benefits and exclusions
  • Assist with health plan utilization management reporting for the organization
  • Ensure optimal payment methodology for payments from US Family Health Plan to vendors and other providers
  • Responsible for all reports and data transfers to the Department of Defense and its contractors
  • Provide support for the quality management program

Requirements

  • Bachelor’s Degree in related field or Equivalent experience in Health Care Business Administration as required by URAC.
  • Minimum of four years’ experience in managed care operations or large group practice setting.
  • Microsoft SQL Server experience
  • Must have knowledge of and experience in coding with both CPT and ICD-9 and ICD-10.
  • Must possess an understanding of financial/administration/clinical business functions and the interfaces/relationships between applications in healthcare.
  • Preferred: Experience with Access and reporting from a warehouse type database.
  • Preferred: Experience with HEDIS reporting.
  • Preferred: Experience with GE/Centricity/IDX healthcare software application.
  • Preferred: Clinic setting operations experience highly desirable.

Benefits

  • The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities
  • Retirement 401(k) Savings Plan with employer matching
  • Health care benefits (medical, dental, vision)
  • Life insurance
  • Disability insurance
  • Time off benefits (paid parental leave, vacations, holidays, health issues)
  • Voluntary benefits
  • Well-being resources
  • Best-in-class benefits

Job title

Business Analyst

Job type

Experience level

Mid levelSenior

Salary

$38 - $60 per hour

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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