Business Analyst

Tri-Com Consulting

Glastonbury, CT

JOB DETAILS
JOB TYPE
Temporary, Contractor, Full-time
SKILLS
Billing, Billing Records, Business Analysis, Case Management, Communication Skills, Documentation, Documentation Standards, Establish Priorities, Maintain Compliance, Medicaid, Meeting Minutes, Presentation/Verbal Skills, Requirements Management, Service Delivery, Staff Training, Standards Development, Team Player, Training/Teaching Curriculum, Work From Home, Writing Skills
LOCATION
Glastonbury, CT
POSTED
3 days ago

Job Title: Business Analyst

Location: Glastonbury, CT – Hybrid - onsite for frequent meetings

Duration: 4-month contract
Project Description

Our client needs to ensure that Medicaid eligible services are properly documented in accordance with the Consolidated Appropriations Act. The CAA implementation team is seeking assistance from a Business Analyst who has a strong familiarity with Medicaid billing documentation standards to help ensure client case note documentation meets all federal and state Medicaid requirements while ensuring audit compliance for billing. This position will be instrumental in creating documentation standards, recommending policy and data system modifications, and assisting with training curriculum development.
Scope of Services

  • Work with interagency representatives to understand how Medicaid waivers will impact business.
  • Learn about the employees who will be delivering reimbursable services and how they currently record electronic case notes in their case management system.
  • Support agencies in understanding Medicaid’s documentation requirements and how to ensure that medical necessity is established.
  • Create business requirements that define the required data elements needed in agency electronic systems such as date, time, location, supervising provider, service type, and signatures.
  • Assist with creating standardized, Medicaid compliant note templates.
  • Help agencies craft policy that reinforce proper case note compliance.
  • Collaborate with training staff and recommend training curriculum topics that will prepare line staff to differentiate between billable and non-billable activities and create Medicaid compliant case notes.
  • May participate in training events and/or assist with creating training scenarios.

Minimum Qualifications

The minimum skills and experience required for a candidate to be considered for this position include:

  • A minimum of 3 years’ experience as a business analyst or in a similar field
  • In-depth knowledge of Medicaid billing practices with particular emphasis on required documentation to meet audit standards
  • Ability to assess current data systems and document change recommendations
  • Strong oral and written communication skills
  • Professionalism and flexibility in working relationships
  • Ability to set individual priorities, complete work with limited direction, and work in a team environment.
  • Experience in training curriculum development a plus.
  • Experience utilizing MS Office suite, and specifically, the Treemont2 software highly desired.

Timetable

While the selected candidate will be allowed to work remotely while performing tasks independently, they will be required to attend frequent in-person meetings in Glastonbury, CT as well as other locations across the state of Connecticut.

About the Company

T

Tri-Com Consulting

The Tri-Com team maintains an extensive network of top clients and Information Technology staffing positions to develop your career. Tri-Com has placed Consultants in opportunities at Fortune 500, mid-market, and emerging companies from a wide variety of industries, including financial services, government services, communications, technology, healthcare, energy & utilities and others.

We believe that keeping an employee challenged and providing a personal career path is the key to fostering a solid working relationship.

Our team of account managers and recruiters is focused on finding opportunities that align to your specific career goals. We take a personalized approach to helping you meet your professional goals. We find the perfect fit for our candidates in contract, contract-to-hire and direct hire positions.

COMPANY SIZE
50 to 99 employees
INDUSTRY
Other/Not Classified
FOUNDED
1996
WEBSITE
http://www.tricomgroup.com