Job Summary

A company is looking for a Sr. Business Intelligence Engineer.

Key Responsibilities:

• Interpret Physician reimbursement methodologies and contracts to oversee the loading of Medicaid fee schedules and Contract Information Systems (CIS) reimbursement terms
• Monitoring and analyzing State regulations/guidelines for relevant changes and tracking changes through implementation
• Develop fee schedule knowledge using multiple data sources including Medicare and Medicaid, CIS logic and Web base fee schedules, etc

Required Qualifications:

• 1+ years of experience with Medicaid or Medicare Provider Claims Adjudication and Contract Reimbursement
• 1+ years experience in Research, Analysis, Documentation, and Interpretation for Provider Reimbursement Programs in New/Existing Medicaid States
• Bachelor's degree
• Prior professional experience utilizing Microsoft Office Applications
• Contract Information System (CIS) Knowledge