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Gainwell Technologies is an award-winning digital health technology company that supports the administration of healthcare and human services programs. In past flexible hiring, the
Advisor Business Analyst – Quality & Oversight
Location
Wisconsin
Posted
120 days ago
Salary
$86.2K - $124K / year
Seniority
Lead
Job Description
Advisor Business Analyst – Quality & Oversight
Gainwell Technologies
• Lead development, maintenance, and enhancement activities for the adult LTC provider enrollment system based on policy, regulatory, and contractual changes. • Review, analyze, and interpret statutes, regulations, and policies to develop system requirements and technical specifications. • Coordinate system design, testing, implementation, and validation with internal teams and contractors. • Serve as the technical subject-matter expert on adult provider enrollment, MCO Provider Network data, Medicaid Provider Extracts, and related interfaces. • Investigate and resolve system, interface, and data integrity issues. • Develop SAS, MMIS, CARES, and related data queries; validate and interpret results; prepare data in formats usable for leadership and program staff. • Produce standard and ad‑hoc reports, charts, tables, analyses, and presentations. • Conduct data trend analysis and recommend improvements for system performance and data quality. • Provide technical guidance and consultation to internal staff, leadership, vendors, and external stakeholders. • Ensure data handling and releases comply with HIPAA requirements. • Support special projects, vendor demonstrations, research activities, and adoption of new data tools.
Job Requirements
- Nine or more years of Business Analyst experience working in the Healthcare Industry
- 3 or more years of Medicaid and Medicare experience preferred
- Extensive knowledge of Medicaid and other healthcare data reporting
- Knowledge of the State of Wisconsin adult long-term care programs
- Strong understanding of Medicaid MMIS, CARES, and related healthcare IT systems
- Extensive knowledge of HIPAA regulations and healthcare data/transaction standards or commensurate experience in healthcare information technology
- Extensive experience with Microsoft Excel, SAS Systems, Tableau, and other data analysis tools
- Strong knowledge of management information systems, systems design, and data quality best practices
- Understanding of computerized data processing, system analysis, and report generation techniques
- Ability to analyze large datasets and interpret results using statistical tools
- Knowledge of research design methods, management reporting techniques, and statistical concepts
- Understanding of relational databases and ability to work within them
- Advanced oral and written communication skills, including the ability to create and deliver clear presentations
- Strong facilitation skills, including conducting meetings and working with diverse stakeholders
- Ability to work independently and collaboratively in a team environment
- Skill in solving complex problems involving multiple perspectives
- Demonstrated ability to collaborate with public and private agencies and service delivery systems
- Experience working in a complex, matrixed work environment.
Benefits
- Generous, flexible vacation policy
- Educational assistance
- Comprehensive health benefits
- 401(k) employer match
- Leadership and technical development academies
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