Peersight
Employers
Jobs
Companies
Top Cities
Log In
Jobs
Overnight Stocker Lighting Assistant - Montreal Lighting Assistant - Greater Vancouver Product Tester at Home Head Cashier Dog Sitter - Flexible Hours Product Tester at Home Product Tester at Home Overnight Freight Team Associate Overnight Stocker Service Lumber Sales Associate Service Gardiens de chats et de chiens Gardiens de chats et de chiens Gardiens de chats et de chiens Faites jusqu Care for Dogs - Work from Home Garder des chiens de chez vous Care for Dogs - Earn up to Gardiens de chats et de chiens Service Service Service Product Tester at Home Travail Merchandising Associate Full-time In-Home Usage Tester Dog Sitter - Work from Home Gardien d Gardien d Gardien d Gardien d Gardien d Gardien d Gardiens de chats et de chiens Gardiens de chats et de chiens Gardiens de chats et de chiens Gardiens de chats et de chiens Gardiens de chats et de chiens Gardiens de chats et de chiens Gardiens de chiens recherch Gardiens de chiens recherch Gardiens de chiens recherch Gardiens de chiens recherch Gardiens de chiens recherch Gardiens de chiens recherch Garder des chiens de chez vous Newest Jobs
Companies
Yelp ContactMonkey CareGuide Sterling-Turner Clearbanc Aecom Two Sigma Aerotek Exact Media WeWork Jane Street AsteroidX Doordash First Convenience Bank Borrowell AT&T Insight Global Shopify Square Amazon Flex Hatchways Creative Circle American Income Life Vector Marketing Peel Regional Police Instacart Recovhub Walgreens Akira Clickworker LowCostWebDesignFirm.com Scotiabank 51talk Microsoft TD Bank UnitedHealth Group Top Hat Paylocity CI&T Desjardins mappedin Checkout 51 Mobeewave The Youth Connection GoParkr Hootsuite autoTRADER.ca ScribbleLive SnapTravel Xiaomi All Companies
Top Cities
Chicago, Illinois Sales Jobs Engineering Jobs Marketing Jobs Product Jobs Design Jobs Customer Support Jobs New York, New York Sales Jobs Engineering Jobs Marketing Jobs Product Jobs Design Jobs Customer Support Jobs Toronto, Ontario Sales Jobs Engineering Jobs Marketing Jobs Product Jobs Design Jobs Customer Support Jobs Vancouver, British Columbia Sales Jobs Engineering Jobs Marketing Jobs Product Jobs Design Jobs Customer Support Jobs Calgary, Alberta Sales Jobs Engineering Jobs Marketing Jobs Product Jobs Design Jobs Customer Support Jobs San Francisco, California Sales Jobs Engineering Jobs Marketing Jobs Product Jobs Design Jobs Customer Support Jobs Montréal, Quebec Sales Jobs Engineering Jobs Marketing Jobs Product Jobs Design Jobs Customer Support Jobs Los Angeles, California Sales Jobs Engineering Jobs Marketing Jobs Product Jobs Design Jobs Customer Support Jobs
Navigation
My Profile Log Out

Business System Analyst At Calabria Group

Location: Monterey Park, California

Job Description

Business System Analyst acts as a SME to be responsible to gather, analyze, and document the business and system requirements, conduct data analyses, and identify all gaps among submissions, internal exclusions, and regulators’ responses; and reconcile the volume charts and all submissions from hospitals. The Sr. Business System Analyst is responsible to support Sr. Programmer Analyst by providing all business and system requirements, QA/UAT any relevant process and data/report results; and work with all internal and external stakeholders to ensure the success of this project accurately and timely.


Minimum and Preferred Qualifications:


Education:

  • Minimum Bachelor's degree in Computer Science, Information Technology (IT) or related discipline that includes technology concentrations from an accredited university

  • A Master’s degree in Computer Science related discipline is desirable.


Experience/Skills:

  • Minimum of 7years related experience working in a managed care environment, preferably in a data analysis, operation management, and informatics position

  • Minimum of 7 years prior experience with State and Federal regulatory data standards and requirements

  • Ability to comprehend and work with HIPAA standard transaction sets, specifically 837P, 837I

  • Knowledge of healthcare management in IPA, Hospital, Provider Network Operations, Member Enrollment, Claim Process, Medical Payment and Revenue Reporting, and Encounter submissions and measures

  • Proficient in MS Access and Oracle database, SQL, and MS Office

  • Ability to conduct comprehensive data analyses, find the root causes of the rejections and issues, and interpret business requirements, data, to identify the opportunities for the gap analyses

  • Lead, manage, and assist all aspects of the project, including gathering business and system requirements, translate to functional requirements, support Sr. Programmer analyst to reconcile all volume charts and hospital encounter submissions

  • Ability to take the initiatives to develop methodologies, strategic plan to optimize the process and performance

  • Ability to write analytical reports and comprehensive summaries

  • Ability to effectively communicate with management and staff, as well as with external submitters

  • Ability to prioritize and lead multiple projects concurrently

  • Able to work in a fast paced environment with frequently changing work demands