Analyzes business needs to determine optimal means of meeting those needs
Determines specific business application software requirements to address specific business needs
Works with programming staff to ensure requirements will be incorporated into system design and testing
Acts as liaison with users of the software to address questions/issues
Requirements
Requires a BA/BS and minimum of 3 years related business analysis experience
Experience working post-pay reviews, validation, and recovery processes in the healthcare industry strong preferred
Experience managing multiple projects in various stages to completion strongly preferred
Experience with medical billing guidelines, and regulations preferred
Experience with medical coding systems such as ICD, CPT, and HCPCS strongly preferred
Claim processing experience strongly preferred
GBD Facets or WGS experience preferred
Knowledge of systems capabilities and business operations is strongly preferred
Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.