Senior Discovery Business Analyst

Senior Discovery Business Analyst

15 Jun 2024
Michigan, Detroit metro, 48201 Detroit metro USA

Senior Discovery Business Analyst

Vacancy expired!

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!

Strategic Staffing Solutions is currently looking for a Sr. Business Analyst for a contract opening with one of our largest clients located in Detroit, MI / REMOTE!


Title: Senior Discovery Business Analyst


Role Type:
W2 contract 12+ months


Location:
Detroit, MI

Engagement Description
Responsible for identifying and developing audit solutions to pursue claims overpayment opportunities. This position tests and qualifies hypotheses using claims data and validates findings. The Sr. Discovery Business Analyst is also responsible for timely auditing of identified cases, managing inventory, and maintain departmental documentation.

Top 3 Required Skills/Experience

  • Knowledge of Medicare Advantage plan operations.
  • Strong analytical, reasoning, and critical thinking skills.
  • Strong working knowledge of claims operations and claims process flows for medical/surgical, DME, and pharmaceutical vendors.

Required Skills/Experience

  • Ability to write reports, business correspondence, and procedure manuals.
  • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the public.
  • Ability to work with mathematical concepts such as probability and statistical inference.
  • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Ability to define problems, collect data, establish facts, and draw valid conclusions.
  • Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Preferred Skills/Experience:

  • Experience with Ika Claims System
  • Experience with CMS Pricers

Education/Certifications

  • Bachelor's degree in related field required - or - equivalent experience including Part C plan operations.

The S3 Difference
The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities.

The four pillars of our company are to:

  • Set the bar high for what a company should do
  • Create jobs
  • Offer people an opportunity to succeed and change their station in life
  • Improve the communities where we live and work through volunteering and charitable giving

As an S3 employee, you're eligible for a full benefits package that may include:

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Plan
  • Vacation Package
  • Life & Disability Insurance Plans
  • Flexible Spending Accounts
  • Tuition Reimbursement

Related jobs

Job Details

  • ID
    JC15465754
  • State
  • City
  • Job type
    Contract
  • Salary
    Market related
  • Hiring Company
    Strategic Staffing Solutions
  • Date
    2021-06-15
  • Deadline
    2021-08-14
  • Category

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