Business Analyst with Medicare and Medicaid ExperienceLocation - 3 Penn Plaza- Newark- New Jersey 07105 – local is preferred 1 day office per week Visa- any Rate - $55/hr on 1099 or $50/hr on W2Job Description:This position is responsible for the ability to understand and abide by Federal Centers for Medicare and Medicaid Services guidance SkillSet –6-8 years of experience in Medicare for Healthcare Payer IndustryExcellent understanding of Quality Process, Performance and HEDIS measuresWorking within comprehensive understanding of several databasesAbility to create, write, Query SQL programs, generate and investigate data.Hands on exposure in working with SaaS platformMaintain timely and appropriate communications with internal and external stakeholdersControl InventoryIdentification and communication of processing performance opportunitiesResponsible for performing below services under Medicare STARS Initiative:Reconciling daily, weekly and monthly Medicare reports generated from CMS as well as researching when requiredDeadline sensitive information processing, including Quality Audit.Processing information accurately and timelyReviewing and Analyzing reports to identify daily/weekly priorities set by business teamWorking within a comprehensive understanding of several databasesGenerating and ensuring compliance and accuracy of various type of member correspondenceReconciling eligibility discrepancies relying on your ability to arrive at a consistently compliant disposition after the analysis of information from several reference-guidance, Call Center notes, multiple databases, and telephone outreach.
Business Analyst with Medicare and Medicaid experience in newark at Unknown Company
This position is listed as full time and onsite.