Medicaid Business Analyst
- Louisville, KY
What you'll be doing
- Analysis of updates to vendor software for impacts to business processes and system logic. Test case design and development for updates to the vendor software and internal system enhancements. Providing technical support for both quarterly and off-cycle releases. Providing user support for the vendor software and related logic in the company's internal systems. Providing market support relevant to system capabilities to accommodate flexible contracting strategies. Troubleshooting potential system issues for claims paid using the vendor pricing software. Understanding the regulatory environment as it relates to health care reform and other CMS/medicaid guidelines. Interpreting medicaid reimbursement methodology and using that knowledge to support the markets and providers. Working with IT and the internal process improvement team on existing requirements and to develop new requirements for system enhancements and new business implementation.
What your background should be
- Experience with medicaid provider reimbursement. Comprehensive knowledge of Microsoft Word, Excel. Strong communication skills. Claims processing experience. Experience resolving provider reimbursement issues.
Required Schooling / Training
- Bachelor's degree.
Who is the client company
- Client company provides health insurance services.
- If you are interested in this position, send your resume to firstname.lastname@example.org