
Healthcare Business Improvement Specialist
1 day ago
We are seeking a seasoned Senior Business Analyst to join our team. As a key member of our organization, you will be responsible for driving business process improvements and ensuring compliance with healthcare regulations.
Responsibilities:- Gather, analyze, and document business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.
- Ensure system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines.
- Collaborate with compliance and legal teams during audits or regulatory updates.
- Analyze and configure benefit codes for medical, dental, pharmacy, and specialty products.
- Support plan design, benefit mapping, and validation in healthcare systems.
- Collaborate with product and IT teams to ensure accurate coding, claims adjudication, and eligibility processing.
- Bachelor's degree in Business Administration, Computer Science, or related field.
- Minimum 5 years of experience as a Business Analyst in the healthcare industry.
- Proven track record of driving business process improvements and ensuring compliance with regulations.
- Excellent analytical, problem-solving, and communication skills.
- A competitive salary and benefits package.
- The opportunity to work with a dynamic team and contribute to the growth of our organization.
- A collaborative and supportive work environment.
If you are a motivated and experienced Business Analyst looking for a new challenge, please submit your resume and cover letter.
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Healthcare Data Insights Specialist
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Healthcare Revenue Cycle Specialist
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Business Intelligence Specialist
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Data and Healthcare Technology Strategist
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Healthcare Process Manager
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Performance Improvement Manager
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Dedicated Medical Imaging Specialist
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