Medical Billing Analyst

Job Summary

Focusing on regulatory compliance, the full-time Business Analyst (Medical Billing/Coding) will manage the intake and interpretation of requirements related to coverage and reimbursement while coordinating with stakeholders and supporting governance committees in a remote work environment.

Key responsibilities

• Develop and maintain requirement documents to ensure alignment with regulatory and health plan requirements
• Lead the management and review process for requirement interpretations and communicate changes to relevant teams
• Conduct analysis to identify root causes of issues related to state requirements and support problem management efforts

Required qualifications

• At least 2 years of experience in a managed care organization, health insurance, or a related field
• Knowledge of policy and government legislative review
• Strong analytical and problem-solving skills
• Proficiency in Office Product Suite including Word, Excel, Outlook, and Teams
• Experience in a dynamic and autonomous work environment