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Technical Business Systems Analyst - MID LEVEL

In United States

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Technical Business Systems Analyst - MID LEVEL   

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JOB TITLE:

Technical Business Systems Analyst - MID LEVEL

JOB TYPE:

JOB SKILLS:

JOB LOCATION:

Raleigh United States

JOB DESCRIPTION:

Job title: Financial Systems Analyst (Business Analyst) Location: Denver, Colorado  Mode: Position is fully remote. Work hours are flexible though typically within 7-6pm MST. Client: State of CO Duration time: 24 Months       Description of Job This position exists to support development of payment models and business processes with a level of technical expertise of healthcare payment business processes and payment models. Position is essential in doing work to develop new rate setting processes. This work can include data analysis, working with actuaries on rate setting methodologies, contract management and stakeholder engagement. Primary Duties Include Reimbursement Policy and Rate Model Development  Determines what data is necessary for rate setting purposes for different types of payment methodologies. Helps to determine if quality measures can be executed with existing management guidance or if further clarification is necessary to do the work.  Must decide how best to pull and analyze data. This position must be able to understand potentially complex rate models and be able to help providers understand their rates and the financial implications involved. Translating complex financial models into contractual language for our providers.  Project Management and Operational Planning to Implement Payment Reform Collaborate with agency stakeholders to develop new payment models for behavioral health services. Decides what tasks need to be completed to develop new payment methodologies. Must determine what tasks are a payment reform team task or if other Department staff or outside contractors are needed to assist with implementation. Decides in which order, and when, to perform these structured tasks.  Data Analysis Supporting Payment Reform Position escalates issues raised by stakeholders that exceed the legal and regulatory knowledge of this first working level position. In responding to stakeholder inquiries and concerns, position evaluates management guidance, then decides when is appropriate to ask for assistance if the stakeholder inquiry is outside of the scope of the guidance that the position relies upon. Decides appropriate time to ask for permission to escalate to other Departmental staff as needed to address complex stakeholder inquiries or concerns Under the direction of a senior analyst, position queries, analyzes, and prepares data for use in analyzing the policy merits of potential payment methodology reforms. Position becomes knowledgeable about a very large set of underlying data that must be queried in different ways depending on the particular extant payment methodology. Position tabulates and compiles data into formats that are useful and understandable to a variety of audiences of varying sophistication and skill. Preferred Qualifications The preferred candidate will exhibit: Expertise in technical writing and construction of protocols and requirement documentation.  Excellent interpersonal, verbal, and written communication and public speaking skills. Self-motivated and able to effectively manage time and tasks. Ability to solve complex problems, participate in continuous improvement, and adapt to the ideas of others. Expertise in PHI, HIPAA, 42 CFR Part II data security, privacy regulations and consent management  Highly Desirable Characteristics Ability to work effectively with key stakeholders, speak and write authoritatively and compellingly, resolve communication problems, and negotiate and manage competing interests. Ability to work well with stakeholders regardless of position and authority, contribute to workgroups and committees, and adhere to clear lines of responsibility and accountability.  

Position Details

POSTED:

Dec 02, 2022

EMPLOYMENT:

INDUSTRY:

SNAPRECRUIT ID:

S1651248019035690

LOCATION:

United States

CITY:

Raleigh

Job Origin:

OORWIN_ORGANIC_FEED

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Aug 19, 2017 9am-6pm
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Job title: Financial Systems Analyst (Business Analyst) Location: Denver, Colorado  Mode: Position is fully remote. Work hours are flexible though typically within 7-6pm MST. Client: State of CO Duration time: 24 Months       Description of Job This position exists to support development of payment models and business processes with a level of technical expertise of healthcare payment business processes and payment models. Position is essential in doing work to develop new rate setting processes. This work can include data analysis, working with actuaries on rate setting methodologies, contract management and stakeholder engagement. Primary Duties Include Reimbursement Policy and Rate Model Development  Determines what data is necessary for rate setting purposes for different types of payment methodologies. Helps to determine if quality measures can be executed with existing management guidance or if further clarification is necessary to do the work.  Must decide how best to pull and analyze data. This position must be able to understand potentially complex rate models and be able to help providers understand their rates and the financial implications involved. Translating complex financial models into contractual language for our providers.  Project Management and Operational Planning to Implement Payment Reform Collaborate with agency stakeholders to develop new payment models for behavioral health services. Decides what tasks need to be completed to develop new payment methodologies. Must determine what tasks are a payment reform team task or if other Department staff or outside contractors are needed to assist with implementation. Decides in which order, and when, to perform these structured tasks.  Data Analysis Supporting Payment Reform Position escalates issues raised by stakeholders that exceed the legal and regulatory knowledge of this first working level position. In responding to stakeholder inquiries and concerns, position evaluates management guidance, then decides when is appropriate to ask for assistance if the stakeholder inquiry is outside of the scope of the guidance that the position relies upon. Decides appropriate time to ask for permission to escalate to other Departmental staff as needed to address complex stakeholder inquiries or concerns Under the direction of a senior analyst, position queries, analyzes, and prepares data for use in analyzing the policy merits of potential payment methodology reforms. Position becomes knowledgeable about a very large set of underlying data that must be queried in different ways depending on the particular extant payment methodology. Position tabulates and compiles data into formats that are useful and understandable to a variety of audiences of varying sophistication and skill. Preferred Qualifications The preferred candidate will exhibit: Expertise in technical writing and construction of protocols and requirement documentation.  Excellent interpersonal, verbal, and written communication and public speaking skills. Self-motivated and able to effectively manage time and tasks. Ability to solve complex problems, participate in continuous improvement, and adapt to the ideas of others. Expertise in PHI, HIPAA, 42 CFR Part II data security, privacy regulations and consent management  Highly Desirable Characteristics Ability to work effectively with key stakeholders, speak and write authoritatively and compellingly, resolve communication problems, and negotiate and manage competing interests. Ability to work well with stakeholders regardless of position and authority, contribute to workgroups and committees, and adhere to clear lines of responsibility and accountability.  


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