Business Analyst

Job Summary

A company is looking for a Business Analyst to support the Managed Services (AMS) Team remotely.

Key Responsibilities:

• Support the medical Claims Editing System (CES) for AMS clients
• Identify and develop new prepayment editing opportunities for healthcare payers
• Facilitate meetings and present new edit concepts to clients during Governance meetings

Required Qualifications:

• 3+ years of experience in the Healthcare Industry, including claims adjudication and reimbursement
• 3+ years of experience with Medicare/Medicaid policy guidelines
• 3+ years of experience analyzing business needs and translating them into business requirements
• 3+ years of experience interfacing with clients, including at the Executive level
• Proficient with MS Office