Business Analyst with Medicare and Medicaid Experience

Location - 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 W2

Job 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 Industry
Excellent understanding of Quality Process, Performance and HEDIS measures
Working within comprehensive understanding of several databases
Ability to create, write, Query SQL programs, generate and investigate data.
Hands on exposure in working with SaaS platform
Maintain timely and appropriate communications with internal and external stakeholders
Control Inventory
Identification and communication of processing performance opportunities

Responsible for performing below services under Medicare STARS Initiative:

Reconciling daily, weekly and monthly Medicare reports generated from CMS as well as researching when required
Deadline sensitive information processing, including Quality Audit.
Processing information accurately and timely
Reviewing and Analyzing reports to identify daily/weekly priorities set by business team
Working within a comprehensive understanding of several databases
Generating and ensuring compliance and accuracy of various type of member correspondence
Reconciling 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.

Georgia IT, Inc.

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