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Lead Business Systems Analyst

El Dorado Hills, CA

Posted: 02/07/2020 Industry: Business Analyst Job Number: 952

Job Description

2rbConsulting is seeking several experienced Lead Business Systems Analysts for a contract role with a well-known health insurance provider in El Dorado Hills, CA.

Our client is a nonprofit health plan provider dedicated to providing Californians with access to high-quality health care at an affordable price. It's the third-largest health plan provider in the state and is dedicated to transforming the healthcare industry. Headquartered in San Francisco, with 18 additional offices across California, they are proud to service over 4 million members and employ more than 6,000 people.

This role requires the successful candidate to be eligible to work in the US without sponsorship and work with 2rbConsulting as a W-2 employee.

We’re looking for individuals who have experience with either Encounter Engagement Analysis, or Encounter Improvement Analysis.

Overall Responsibilities: Encounter Engagement Analysis

  • Responsible for the onboarding of new submitters (providers, IPAs, Hospitals, and PPGs)
  • Responsible for report cards regarding submitter encounter data performance
  • Identify opportunities for improvement for quality, completeness, and timeliness of encounter data submission
  • Responsible for submitter engagement plans and performance summary

Overall Responsibilities: Encounter Improvement Analysis

  • Must have experience with Medi-Cal/Medicaid Encounter Data & Processes
  • Healthcare experience is required
  • Must have strong organizational, analytical, and communication skills
  • Knowledge with regulatory requirements is a strong plus
  • Individual must be self-motivated, requiring minimal direction

Qualifications Include:

  • Must have experience with Medi-Cal/Medicaid Encounter Data & Processes
  • Healthcare experience is required
  • Must have strong organizational, analytical, and communication skills
  • Knowledge with regulatory requirements is a strong plus
  • Individual must be self-motivation, requiring minimal direction

If this opportunity sounds like a good match for you, please submit your resume for immediate consideration!

Candidates selected for these contract opportunities will be required to take a background check and drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

You will also be required to work directly with 2rbConsulting as a W-2 employee, no 1099 or 3rd Party Candidates will be accepted.

 

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