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Job Description
Location:
Fully Remote (US)
Timezone Requirement:
Must reside in Eastern Standard Time (EST) or Central Standard Time (CST)Position OverviewAre you a healthcare data enthusiast who thrives at the intersection of operational compliance, financial analytics, and clinical workflows? We are seeking a high-caliber Business Analyst to join our dynamic team supporting the Coding and Comprehensive Health Assessment Programs (CHAPs) departments. You will serve as the strategic analytical engine driving compliance, data integrity, and operational efficiencies across our Medicare Advantage and Risk Adjustment workflows.
In this position, you will directly manipulate large-scale healthcare data sets to identify trends, mitigate compliance risks with CMS regulations, optimize coder workflows, and uncover opportunities that directly impact clinical operations and accurate market reimbursement models.
Complete routine and complex data analysis projects, process mapping, and workflow modeling. Identify variances, performance trends, and anomalies within Risk Adjustment and clinical documentation datasets.
Operational Solutions:
Conduct end-to-end business process assessments across coding operations and CHAPs workflows. Formulate data-driven strategies, tactics, and solutions to eliminate process bottlenecks.
Reporting & Metric Architecture:
Prepare, maintain, and expand a dynamic library of key performance measures, dashboards, and automated operational reports. Manage recurring scheduled reports while balancing concurrent ad hoc project requests.
Cross-Functional Partnership:
Act as an embedded analytical partner to Department Heads, Clinical Leaders, and Matrixed Operations teams to drive strategic market initiatives to completion.
Data Governance & Compliance:
Ensure absolute data integrity and regulatory alignment with CMS guidelines. Protect and disclose patients' protected health information (PHI) in strict compliance with HIPAA standards.