Immediate Hiring: Senior Business Analyst Consultant - Remote

Remote Full-time
Position at a Glance:Company: WorkwarpLocation: RemoteCompensation: a competitive salaryStart Date: Immediate openings availablePosition: Senior Business Analyst Consultant - Remote  Employer Industry: Healthcare Services

Why consider this job opportunity...
- Salary up to $190,400 annually
- Comprehensive benefits package including equity stock purchase and 401k contribution
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Incentive and recognition programs available
- Supportive and inclusive company culture focused on health equity

What to Expect (Job Responsibilities):
- Coordinate with Market, Finance, Product, Medical Directors, and Healthcare Economics to identify and implement payment integrity opportunities
- Develop and implement payment integrity solutions through research and analysis of data and local business processes
- Lead program management for all California payment integrity services
- Create business cases to influence market partners and stakeholders for prioritizing new initiatives
- Ensure adherence to state and federal compliance policies and operational metrics

What is Required (Qualifications):
- 5+ years of experience in the healthcare industry
- 5+ years of experience working within MA, Medicaid and/or commercial lines of business
- Experience with product/vendor implementations and end-to-end process ownership for payment integrity programs
- Proficiency in Microsoft Office: Word, Excel, PowerPoint, and Visio
- Proven ability to manage competing priorities and engage with clients effectively

How to Stand Out (Preferred Qualifications):
- 1 or more of the following certifications: CPC, CPCO, AHFI, HCAFA, CFE
- Experience interpreting provider contractual agreements
- Experience managing a comprehensive portfolio of programs
- Proficiency in performing financial analysis/audit
- Comfortable with PMPM calculations and financial goal accountability

#HealthcareServices #RemoteWork #CareerGrowth #CompetitiveSalary #DiversityAndInclusion

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Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer Apply Job! We Encourage You to Apply!Even if you feel you're not a perfect match, we'd still love to hear from you. We are looking for great people to join our friendly team.

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