Technical Business Analyst with Medicaid & Finance Experience - 100% Remote

Remote • Posted 15 hours ago • Updated 15 hours ago
Contract Corp To Corp
Contract W2
Contract Independent
12 Months
Remote
$56/hr
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Fitment

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Job Details

Skills

  • Business Analyst
  • Finance
  • Claims
  • Budget Management
  • Medicaid/ Medicare
  • RTM

Summary

  • Configure accounts receivable processing tasks including setting up accounts receivable, developing reports specifications to on accounts receivables. Assess client AR business operations and configure or develop new processes for configuring the financial system. Knowledge in the following business processes
  • Experience in Provider Recoupment in a Payer setup
  • Manage Recoveries
  • Manage AR funds
  • Configure accounts payable processing tasks including set up accounts payable, developing reports specifications for accounts payable. Discuss with client to understand their accounts payable operations and configure financial system according to the client processes. Knowledge in the following business processes
  • Manage contractor payments
  • Manage AP disbursement
  • Familiar with 1099 Process
  • Fiscal Management
  • Budget Management
  • Manage Funds
  • Compare current reports (accounts receivable, accounts payable, cash receipts and other payment related etc.) with client specific reports to identify the gaps.
  • Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid system
  • Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts.
  • Must have good experience in Reference code/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, ICDs.
  • Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
  • Must be able to work with the clients to create/gather requirements and document them according to standards.
  • Must adhere to (or if needed, define) the processes for requirement solicitation, documentation and hand off.
  • Should work closely with the IT development team to elucidate the requirements, enable constructive discussions / brainstorming sessions to implement the best in class solution.
  • Should have basic understanding concepts like web services, relational databases etc.,
  • Should be able to run queries and perform basic system analysis, RCA etc.,
  • Should be able to create mapping documents for the various interfaces and include business rules, transformation and DB mapping.
  • Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos
  • Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks
  • Work Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91139083
  • Position Id: 26-00310
  • Posted 15 hours ago

Company Info

About The Dignify Solutions, LLC

 The Dignify Solutions with Global Capabilities and Local Excellence – has combined experience of 30 +years in Client Services/ Engagement/ Relationship/ Partnership, Sales/ Account Management, Service Delivery, Recruiting, Staffing and Talent Acquisition for the whole gamut of skillsets in Information Technology (Digital Transformation, Artificial Intelligence, Machine Learning and other business domains).

The Dignify is dedicated to meeting the needs of two types of customers: our Clients and our Consultants. We ensure that our clients receive Top Talent while also allowing our consultants to accomplish their Professional Goals. 

The Dignify honors & prioritizes the Philosophy of Client Centricity and Delivery Excellence. The Dignify has dedicated Sales and Delivery Teams with each client, to make sure our standards and yours are being met. From Banking and Financial Services, Manufacturing and Retail, Energy and Utilities, Communication and Media, Technology and Telecom Services and beyond, our goal is to maintain a High Quality, Customer-Focused Engagement Model.

We are driven by three core principles in changing Staff Augmentation for the better: Cost, Quality, and Responsiveness. Whatever your need – be it a single resource or a whole team, we will find you the right talent in a timely and cost-effective manner.

The Dignify offers the Best Skilled Potential Talent, Services and Solutions to help our clients, accomplish their goals. As Market Intelligence Leaders, we provide insight into industry factors that will give you the competitive advantage you need to stay a step ahead of others in your space.

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