Business Analyst with Medicaid & Finance Experience - 100% Remote
The Dignify Solutions LLC
- 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.
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Business Analyst with Medicaid & Finance Experience - 100% Remote in United States vacancy
- ...receivables. Assess client AR business operations and configure or... ...following business processes Experience in Provider Recoupment in a... ...for accounts payable. Discuss with client to understand their... ...claims solution and/or Medicare/Medicaid system Must have good...Remote workFor contractors
The Dignify Solutions, LLC
United States2 days ago - ...strong health care domain experience and should have good knowledge of Medicaid and Medicare.... ...Should work closely with the client and development... ...Adjudication Payment Cycle (Finance) Reporting Claim Types... ...end users of Clients and Business Units. Ability to...Remote work
The Dignify Solutions, LLC
United States2 days ago - Business Analyst With Medicaid Experience Location: 100% Remote Duration: Long Term Client: State of South Dakota JD: The client is looking for the business analyst candidate with strong Medicaid experience.Remote work
My3Tech Inc
United States6 days ago - ...Job Title Business Analyst. Location WV040 – 100% Telecommute. Work Hours 9am-5pm. Responsibilities... ...’s degree or equivalent experience 3+ years of demonstrated... ...the Healthcare industry with Health and Human Services inclusive of SNAP and Medicaid 1+ years of experience...Remote work
AHU Technologies Inc
New York, NY4 days ago - ...title of the position? Business Analyst 8. Work location?... ...Work Location Type 100% Telecommute 9a. How... ...to number of years of experience for each skill)?... ...the Healthcare industry with Health and Human Services... ...inclusive of SNAP and Medicaid 1+ years of experience...Remote workWork at officeNight shiftRotating shiftDay shift
Voluble Systems LLC
United States5 days ago - ...Job Title 10-12 years of experience as a Business Analyst with minimum of 8+ years of experience in health care experience especially in MMIS domain... ...submission – Paper and EDI X12 Adjudication Payment Cycle (Finance) Reporting Encounters and Capitation EDI X12...Remote work
The Dignify Solutions, LLC
United States3 days ago - ...Description The Medicaid Business Systems Analyst will support the... ...requirements gathering sessions with non-technical Subject... ...5 years of experience with Medicaid Claims... ...Tuesday) and 3 days remote; subject to change per... ...the hiring team; up to 100% remote work possible...Remote workContract workLocal areaRelocationMonday to FridayWeekend workAfternoon shift
Air InfoSec
Austin, TX5 days ago $85.1k - $161.58k
...oriented Senior Business Data Analyst to enhance our... ...role may work remotely anywhere in... ...weekly basis with flexible work... ...Collaborate with HRT finance, operations,... ...more years of experience in the... ...Medicare, Part D, Medicaid, Dental, etc.)... ...this role is $85,100 - $161,575....Remote workFull timeTemporary workWork experience placementWork at officeFlexible hoursMilliman
Chicago, IL6 days ago- Senior Technical Business Analyst - ISO8583, EFT, API, Payments Processing - 100% Remote Location: 100% Remote. Must be within 70 miles... ...and credit unions connect with the people they serve. Our mission... ..., secure, and human‑centered experiences. We provide cutting‑edge...Remote jobWork at officeFlexible hours
- 10+ years of working experience as a Java developer Candidate should have strong health... ...and should have good knowledge of Medicaid and Medicare. Candidate should have... ...Adjudication processes. Experience with user interface design. Knowledge of...Remote workWork experience placement
The Dignify Solutions LLC
United States15 days ago - ...Financial Planning Analysis Analyst Location : Durham,... ...Company Job Category: Finance Level of Experience: Mid-Level Employment... ...or CPT) • Hybrid role; remote and onsite. Based in Raleigh... ...Medication Management Solutions business unit, with a focus on being a...Remote workContract workFlexible hoursDay shift
MILLENNIUMSOFT
Durham, NC11 days ago $69.4k - $99.2k
...Senior Business Operations Analyst - CEV/Medicaid/SNAP Great companies need great teams to... ...vulnerable. Connect your passion with purpose, teaming with... ...looking for 5+ years of experience in healthcare operations,... ...your work (0-10%) Remote position within the United...Remote workFull timeFlexible hoursGainwell Technologies
United States2 days ago- ...Job Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms | Medicaid SME Required ~ Candidates with previous State Medicaid program experience will be given strong consideration. ~ Drug screen and background...Remote workContract work
MSR Technology Group
Springfield, ILa month ago - ...Hello, Hope you're doing well, Role: Medicaid Business Analyst Location: Remote Duration: Long Term Type: W2... ...Skills: We are looking for a Medicaid BA with an over all experience of 9+ years and Medicaid experience of 4+ years...Remote work
My3Tech Inc
United States6 days ago - ...IT, Inc. is seeking a Business Analyst 2 located in Austin, Texas... ...requiring three days remote and two days onsite.... ...project oversight for Medicaid IT systems. The ideal... ...have over four years of experience in business systems... ...analysis and be familiar with Agile methodologies....Remote job
- ...technology solutions company is seeking a Business Analyst to support Benefit Plan Administration... ...will have over 3 years of relevant experience, including claims and Medicaid expertise. This role includes opportunities for remote work and focuses on improving healthcare...Remote workFlexible hours
Gainwell Technologies
Madison, WI6 days ago - ...Business Analyst W/Medicaid Location: Pierre, SD (REMOTE) Duration: Long Term Client: State of South Dakota Terms... ...Minimum of 3 to 5 years of experience working on Medicaid domain Minimum... ...and professionally communicate with staff at all levels Knowledge...Remote work
My3Tech Inc
United States5 days ago $150k - $179.3k
...Broughton Group is looking for a Lead Business Analyst to perform functional business analysis for Medicaid programs. This fully remote position involves 25% travel and ensures... ...ideal candidate will have significant experience with Medicaid, including relevant technical...Remote workBroughton Group
Des Moines, IA1 day ago- ...Senior Business Analyst with P&C - 100% Remote Business Analyst with minimum 15 years of experience. 10 years of experience in P&C Insurance. Must have worked on documenting requirements for large changes/enhancements on multiple Policy Admin (Duck Creek, Guidewire, Rapidsure...Remote workFull time
The Dignify Solutions, LLC
United States2 days ago - ...RPA Business Analyst Location: Chicago, IL (100% remote role) Duration: 6-8 Months US Citizens, GC holders preferred... ...in California. Will work closely with the onshore Scrum Master/CSM and... ...Must-haves ~10 years of experience ~ RPA knowledge/experience ~...Remote work
Staffing the Universe
United States14 days ago $100k - $150k
...Maximus is seeking a Lead Business Analyst to provide strategic leadership... ...guiding project teams. This fully remote position requires a Bachelor’... ...and 7+ years of relevant experience. You will act as a trusted advisor... .... Salary ranges from $100,000 to $150,000. #J-18808-Ljbffr...Remote workMAXIMUS
Columbia, SC5 days ago- ...A leading solutions provider is seeking a Senior Business Analyst to work 100% remote. The ideal candidate will have a minimum of 15 years of experience, especially in P&C Insurance, and must be adept at documenting requirements for significant changes in policy administration...Remote workFull time
The Dignify Solutions, LLC
United States2 days ago - ...Business Systems Analyst with SQL Experience - Work From Home The Business Systems Analyst will serve as a liaison between business subject matter... ...role in designing and documenting systems. This is a 100% Remote opportunity. Responsibilities: - They will be responsible...Remote workWork from home
Next Step Systems LTD
United States2 days ago - ...Business Analyst - Medicaid Claims Processing Location: Austin, TX (Hybrid... ...: Monday & Tuesday; 3 days remote) Duration: Multi-Year Contract... ...Business Analyst with a strong background in Medicaid... ...gathering skills, along with experience working in Agile...Remote workContract workLocal area
SMX Services & Consulting, Inc.
Austin, TX4 days ago - ...Business Analyst- Mid Level Location: Remote Essential Responsibilities: Work closely with business stakeholders to understand their needs... ...final sign-off for the Medicaid Detailed Budget Summary... ...government/public sector experience with health and human services...Remote work
My3Tech Inc
United States5 days ago $55k
...AHCCCS), Arizona's Medicaid agency, is... ...environments, including remote work opportunities. With career paths... .... Management Analyst 4 Job... ...Address: Division of Business and Finance (DBF) 150 N.... ...in Healthiest 100 Workplaces in... ...managing analysis experience appropriate to...Remote workFull timeContract workPart timeFor contractorsInternshipWork from homeFlexible hoursState of Arizona
Phoenix, AZ4 days ago- ...Business Analyst - Property & Casualty Insurance Location: 100% Remote Duration: 6+ months contract IV: Phone and Video Visa... .... This role works closely with vendor partners, team members,... ...implementations. Relies on experience and judgment to plan and accomplish...Remote workContract workH1b
ShiftCode Analytics
United States4 days ago - ...Role: Senior Business Analyst Location: 100% Remote Employment Type: Contract Preferred Experience: Previous experience working with Cardinal Health Experience Level: 15+ Years Job Summary: We are seeking a highly experienced Senior Business...Remote workContract work
AceStack LLC
United States4 days ago - ...Senior Medicaid Eligibility & Enrollment Business Analyst/SME We are seeking a highly experienced Medicaid Eligibility & Enrollment Business Analyst/SME with over 15 years of experience supporting large-scale Medicaid programs, eligibility systems, and healthcare operations...Remote work
Group Nine LLC
United States6 days ago $49.43k - $107.1k
...Senior Business Analyst – Credentialing Team Position Summary The... ...credentialing solutions in partnership with Molina IT, external vendors,... ...(e.g., CMS, state Medicaid rules, NCQA) Develop process... ...At least 4 years of experience in previous roles in a managed...Remote workWork experience placementWork at officeMolina Healthcare
United States6 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Business Analyst with Medicaid & Finance Experience - 100% Remote. Be the first to apply!
Related searches
- business information analyst United States
- business analyst work from home United States
- loan iq business analyst United States
- rpa business analyst United States
- student business analyst United States
- customer data management analyst United States
- erp business analyst United States
- revenue management analyst United States
- bank of america business analyst United States
- sap business analyst United States