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Business Analyst Associate (Healthcare)

Company: Commonwealth Care Alliance
Location: Chepachet
Posted on: May 16, 2022

Job Description:

Why This Role is Important to UsExternal Title: Business Analyst Associate (Healthcare)Internal Title: Risk Adjustment Business Analyst*Note: This position is Hybrid (in office/work from home)The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex programs, initiatives, and data through the employment of business requirements gathering, project management techniques, business systems analysis, and reporting using a variety of reporting platforms, systems, sources, and data formats. The business analyst will work closely within the Risk Adjustment team to understand business requirements, project deliverables, technical solutions, and short-term objectives and long-term goals. They will collaborate with other business units on the program and project structures, data gathering and transformation methodology, and analytical standards to ensure reporting accuracy, data integrity, and process efficiency. What You'll Be DoingDevelop and maintain knowledge of key performance indicators related to Medicare Risk Adjustment and Hierarchical Condition Categories (HCCs).Gather and clearly define and communicate business requirements and project goals.Develop methods to support the access, storage, and reporting of data sets that result from project initiatives.Effectively visualize and communicate the risks, insights, patterns, and trends from complex and disparate reports and sources.Develop and conduct quality control audits and test requirements to ensure accuracy of data.Identify, correct, and/or assist in resolution of project and program risks.Collaborate directly with internal and external business units.Perform data scrubbing, troubleshooting, quality checking, and usability analysis to identify anomalies, which need to be addressed prior to delivery of program and initiative results.What We're Looking ForEducation:Bachelor's degree or an equivalent combination of education and highly relevant work experienceExperience and SkillsHigh-level of knowledge of Microsoft software suite including Word, PowerPoint, Visio and intermediate to Advanced skill level with Microsoft Excel.Understanding of medical terminology and familiarity with medical records.Ability to interact and communicate effectively with healthcare providers.Strong communication and meeting facilitation skills.Strong written skills (process documentation, software documentation, etc.).Ability to effectively manage time, prioritize work, multi-task across many assignments without reminders or prompting from management.Working knowledge of the provider-based healthcare industry and Risk Adjustment preferred.Desired skills:Two plus years' experience in healthcare industry or related field which includes direct or indirect work with public health certificate/coursework, claims management systems, EMR platforms, healthcare regulations, Risk Adjustment MA/HHS, project management, data visualization, or other clinical related backgroundKnowledge of HCC Risk Adjustment is a plus.

Keywords: Commonwealth Care Alliance, Providence , Business Analyst Associate (Healthcare), Healthcare , Chepachet, Rhode Island

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