CONTRACTOR

FEED

UNKNOWN

7) Assist in the development of technical documentation for recurring reports, data pipelines, and reporting logic to ensure consistency and knowledge transfer. c) Strong proficiency in SQL/SAS, with working knowledge of Python for data manipulation, analysis, and automation tasks.

Job Description:1)  Analyze Medicaid claims, eligibility, provider, and encounter data to identify trends, anomalies, and opportunities for improvement. 2)  Support program evaluation, policy analysis, and operational decision-making through data insights. 3)  Design and maintain dashboards and reports using tools like Power BI or Tableau. Present findings to stakeholders in a clear, actionable format. 4)  Work with internal teams, external partners, and leadership to define data needs and deliver solutions. Present findings to stakeholders in a clear, actionable format. 5)  Ensure all work aligns with Agencys regulations, including HIPAA and state data governance standards. Document methodologies, data sources, and assumptions for transparency and reproducibility. 6)  Support special projects, audits, and federal reporting initiatives as needed. 7)  Assist in the development of technical documentation for recurring reports, data pipelines, and reporting logic to ensure consistency and knowledge transfer. 8)  Develop and validate data extracts for federal and state reporting requirements, including CMS submissions and performance metrics. 9)  Apply machine learning methods where appropriate to improve forecasting and risk stratification models. 10)  Perform other duties as required. Required Qualifications: a)  Bachelors or masters degree in data science, Statistics, Computer Science, or a related field. b)  Five (5) or more years of experience in data analysis, preferably in healthcare or Medicaid. c)  Strong proficiency in SQL/SAS, with working knowledge of Python for data manipulation, analysis, and automation tasks. d)  Three (3) years of experience with data visualization tools such as Power BI, Tableau, or similar platforms for building dashboards and reports. e)  Strong understanding of healthcare data, especially Medicaid or claims-based data. f)  Excellent communication skills and ability to present complex data to non- technical audiences. Preferred Qualifications a)  Experience working with state or federal healthcare programs. b)  Knowledge of Medicaid managed care, long-term services and support s(LTSS), or waiver programs. c)  Familiarity with cloud-based data platforms (e.g., Azure, AWS). d)  Experience with machine learning or advanced statistical modeling.

Siritech Solutions Corp

Data Analyst with Medicaid or Claims

Amazon Web Services (AWS)

Analysis Skills

Automation

Cloud Computing

Communication Skills

Computer Science

Content Management Systems (CMS)

Data Analysis

Data Management

Data Quality

Data Science

Data Visualization Tools

Forecasting

HIPAA (Health Insurance Portability and Accountability Act)

Healthcare

Knowledge Transfer

Leadership

Long-Term Care

Machine Learning

Managed Care

Medicaid

Microsoft Windows Azure

Operational Audit

Performance Metrics

Policy Analysis

Policy Evaluation

Power BI

Presentation/Verbal Skills

Problem Solving Skills

Program Evaluation

Python Programming/Scripting Language

Regulations

Reporting Dashboards

Risk Modeling

SQL (Structured Query Language)

Statistical Analysis System (SAS)

Statistics

Tableau

Team Player

Technical Writing

Trend Analysis

partner Conrep

OTHER

Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston.

Overview Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP (Baker Tilly) provide professional services through an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly US, LLP is a licensed independent CPA firm that provides attest services to its clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and business advisory services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities are not licensed CPA firms. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Visit bakertilly.com or join the conversation on LinkedIn, Facebook and Instagram. Please discuss the work location status with your Baker Tilly talent acquisition professional to understand the requirements for an opportunity you are exploring. Baker Tilly is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status, gender identity, sexual orientation, or any other legally protected basis, in accordance with applicable federal, state or local law. Any unsolicited resumes submitted through our website or to Baker Tilly Advisory Group, LP, employee e-mail accounts are considered property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency fees. In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP, there must be a formal written agreement in place and the agency must be invited, by Baker Tilly's Talent Attraction team, to submit candidates for review via our applicant tracking system. Job Description: Due to the continued growth of our consulting practice, we are currently recruiting for Epic Application Analysts / Consultants to join our Epic Practice with the Digital Solutions Healthcare team. As a part of the Epic Practice, you will find that our global brand and entrepreneurial environment will give you the support you need to apply your industry and technical experience to build your career across a wide range of services to meet our clients' most important needs. As a member of our team, you will also contribute to some of the most important activities in our firm which include operating and growing the business, serving the client, developing the best people, and shaping our culture. Our Epic Practice team members have expertise in one or more Epic applications including: EpicCare Ambulatory, Inpatient, ClinDoc, Inpatient Orders, Orders Transmittal, MyChart, Welcome, Haiku, Canto, Rover, ASAP, Bugsy, OpTime, Anesthesia, Beacon, Phoenix, Willow Inpatient, Willow Ambulatory, Willow Inventory, Beaker, Cupid, Stork, Radiant, Lumens, Wisdom, Bones, Kaleidoscope, Dorothy, Comfort, Research, HB, PB, Claims, SBO, Tapestry, Contracts Reimbursement, Grand Central, Cadence, Prelude, Cogito, Caboodle, Clarity, Reporting Workbench, Healthy Planet, ECSA, ECSM, ODBA, Hyperspace, Hyperdrive, EpicCare Link, Bridges, Pedigree, Compass Rose, Data Courier, Community Connect, Radar, Slicer Dicer. We have been supporting Epic environments at healthcare providers across the US since 2006. What you will do: <ul><li>Be a trusted member of the Epic Practice team with responsibilities including: <ul><li>Demonstrate significant knowledge of Epic implementations, upgrades, and optimizations including: <ul><li>Understand functionality and methodology that support successful Epic projects. </li><li>Plan, design/build, test, implement and support the needs of Epic EHR. </li><li>Participates on cross-functional teams as required to ensure integration and alignment of build, process design, and configuration of workflows. </li><li>Lead / facilitate requirements gathering and workflow analysis. </li><li>Lead or provide support during testing, training, and implementation of applications. </li><li>Identify issues with workflows and build, and develop solutions to remediate. </li><li>Provide support to business operations or clinical end-users. </li><li>Provide mentorship, training and guidance to</li></ul></li></ul></li></ul>

Baker Tilly Advisory Group, LP

Temporary Application Analyst

Broadbean

ADAPTED_NOW

Provide required business and/or subject matter expertise for both project and production related activities on complex issues, including new strategic programs or initiatives impacting current and existing systems. testing plan, testing scenarios, testing schedule, testing outcomes, user task analysis, documentation, defect management, results analysis) to ensure minimal production defects are realized.

Company : United Concordia Dental Job Description : JOB SUMMARY This job performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system. The incumbent has a deep understanding of a specific application or set of applications he/she supports, how users use the application, and what other systems integrate with the application. Understands how work is being conducted, and through analysis, determines solutions to the issue(s). Works with stakeholders to identify solutions that may include training, a process change, or modifications to business rules. Traces business requirements through to test plans and cases, reducing time to fix issues and identify anomalies. The incumbent interfaces with positions that are directly involved in the hard-key programming of applications as roles involved in the analysis of the overall business process(es). Uses functional and organizational knowledge to mentor junior resources. ESSENTIAL RESPONSIBILITIES + Take a lead role with customers, Application Developers, and other team members to capture capability needs and drive quality business solutions on complex issues. Create and maintain deliverables such as business vision, requirements, personalization to different clients, and user interface design. + Participate in the full project life cycle by actively taking a lead role on project teams, based upon experience and need. + Provide required business and/or subject matter expertise for both project and production related activities on complex issues, including new strategic programs or initiatives impacting current and existing systems. + Ensure compliance for required standards (e.g. SOC 2) and all necessary approvals have been obtained throughout the project lifecycle. + Interface with the business areas, technical staff, and project teams to drive value, return on investments and innovative solutions. This includes providing alternative solutions with maximum benefits while reducing cost (e.g. cost benefit analysis, pros/cons of solutions). + Take lead role in supporting various aspects of requirements testing (e.g. testing plan, testing scenarios, testing schedule, testing outcomes, user task analysis, documentation, defect management, results analysis) to ensure minimal production defects are realized. + Run system reports and/or create more complex ad-hoc reports, pulling data from various sources. Conduct more complex analysis of the reports to ensure system performance and/or results. + Communicate in an exemplary manner with team members, partners and management, including reporting project status, enabling solutions, and providing accurate and concise documentation. + Provide thought leadership and strategic direction in Product and Technology Solutions. + Other duties as assigned. EDUCATION Required + High school diploma/GED Preferred + Bachelor’s degree in Information Systems or Business Administration/Management EXPERIENCE Required + 5 - 7 years in a relevant operational area (e.g. customer service, claims, enrollment and billing, etc.) to include 3 - 5 years of technical application experience Preferred + 3 - 5 years in the Health Insurance Industry + 3 - 5 years the Healthcare Industry + 3 - 5 years in Lean/Six Sigma + SQL & Power BI experience LICENSES AND CERTIFICATIONS Required + None Preferred + (Lean) Six Sigma + Project Management Professional (PMP) SKILLS + Leadership + Process Improvement + Analytical Skills + Problem-Solving + Communication Skills + Presentation Delivery + Customer Service + Strategic Thinking Language (Other than English) + None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Rarely Lifting: 10 to 25 pounds Never Lifting: 25 to 50 pounds Never _Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ _Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ Pay Range Minimum: $57,700.00 Pay Range Maximum: $107,800.00 _Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J268064

Highmark Health

Senior Internal Business Systems Analyst

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