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Business Analyst SrLanceSoft • Lansing, MI, United States
Business Analyst Sr

Business Analyst Sr

LanceSoft • Lansing, MI, United States
10 days ago
Job type
  • Full-time
Job description

Risk Adjustment Business Analyst

Resource will be required to come onsite 1 time a week

This engagement requires a highly skilled Risk Adjustment Business Analyst who can bridge regulatory requirements with operational execution across Medicare Advantage and other risk-bearing programs.

Required Experience:

  • Should have solid understanding in risk assessments and auditing in Medicare Advantage.
  • Build reports using the data that is available.
  • Look at the reports and summarize if the reports are correct and check for accuracy.
  • Business analysis - Tableau reporting - Combine workbooks in Excel.
  • Diagnosis and coding - CMS - Medical records coding and reports.

Education:

  • Bachelor's degree in healthcare administration, business, data science, or a related field with strong quantitative and analytical coursework.
  • Certified Professional in Healthcare Information & Management Systems (CPHIMS), Certified Professional Medical Auditor (CPMA), or certifications related to specific risk adjustment models (e.g., Medicare Advantage) may also be preferred or beneficial.
  • CRC certified.
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Business Analyst Sr • Lansing, MI, United States

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