Advisor Business Analyst – Quality & Oversight

Business AnalystBusiness AnalystFull TimeRemoteTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Wisconsin

Posted

37 days ago

Salary

$86.2K - $124K / year

Bachelor Degree9 yrs expEnglishTableau

Job Description

• Lead development, maintenance, and enhancement activities for the adult LTC provider enrollment system based on policy, regulatory, and contractual changes. • Review, analyze, and interpret statutes, regulations, and policies to develop system requirements and technical specifications. • Coordinate system design, testing, implementation, and validation with internal teams and contractors. • Serve as the technical subject-matter expert on adult provider enrollment, MCO Provider Network data, Medicaid Provider Extracts, and related interfaces. • Investigate and resolve system, interface, and data integrity issues. • Develop SAS, MMIS, CARES, and related data queries; validate and interpret results; prepare data in formats usable for leadership and program staff. • Produce standard and ad‑hoc reports, charts, tables, analyses, and presentations. • Conduct data trend analysis and recommend improvements for system performance and data quality. • Provide technical guidance and consultation to internal staff, leadership, vendors, and external stakeholders. • Ensure data handling and releases comply with HIPAA requirements. • Support special projects, vendor demonstrations, research activities, and adoption of new data tools.

Job Requirements

  • Nine or more years of Business Analyst experience working in the Healthcare Industry
  • 3 or more years of Medicaid and Medicare experience preferred
  • Extensive knowledge of Medicaid and other healthcare data reporting
  • Knowledge of the State of Wisconsin adult long-term care programs
  • Strong understanding of Medicaid MMIS, CARES, and related healthcare IT systems
  • Extensive knowledge of HIPAA regulations and healthcare data/transaction standards or commensurate experience in healthcare information technology
  • Extensive experience with Microsoft Excel, SAS Systems, Tableau, and other data analysis tools
  • Strong knowledge of management information systems, systems design, and data quality best practices
  • Understanding of computerized data processing, system analysis, and report generation techniques
  • Ability to analyze large datasets and interpret results using statistical tools
  • Knowledge of research design methods, management reporting techniques, and statistical concepts
  • Understanding of relational databases and ability to work within them
  • Advanced oral and written communication skills, including the ability to create and deliver clear presentations
  • Strong facilitation skills, including conducting meetings and working with diverse stakeholders
  • Ability to work independently and collaboratively in a team environment
  • Skill in solving complex problems involving multiple perspectives
  • Demonstrated ability to collaborate with public and private agencies and service delivery systems
  • Experience working in a complex, matrixed work environment.

Benefits

  • Generous, flexible vacation policy
  • Educational assistance
  • Comprehensive health benefits
  • 401(k) employer match
  • Leadership and technical development academies

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