• Conduct detailed reviews of clinical records to determine appropriateness of treatment, timelines and fact chronology, determination of reasonable and necessary treatment modality, causation, and medical necessity. • Assess consistency between diagnosis, procedures, and clinical documentation. • Document expert opinion of clinical findings, assessment of care, and utilization of practice standards in a professionally written, formal summary report. • Respond to and/or attend hearings as required which may include some travel.

• research regulations to assure payments and credit cards are compliant • assess CMS program documents including, without limitation, Board and Management oversight, Third Party oversight, compliance programs, complaint response management, and compliance audit programs • review CMS process narratives, procedures, and process flows, and perform a gap analyses to regulatory requirements • assess current state processes for alignment with policies, procedures, and regulations • identify regulatory gaps and develop recommendations for changes to procedures and documentation • perform transaction testing to confirm adherence to policies, procedures, and regulations • create and maintain detailed supporting work papers • manage large data sets, troubleshoot, and develop processes for collecting and aggregating data effectively and efficiently • synthesize data into Key Risk Indicators and Key Performance Indicators • communicate effectively with the client, team members, and management • create and maintain client deliverables such as assessment/audit reports, risk assessments, work papers, and reporting decks • meet deadlines and work under pressure when required • identify issues and escalate as needed • perform other duties as assigned

Role Description We are looking for a highly detail-oriented Business Workflow Analyst to help organizations understand, document, and improve their business operations. You will work directly with companies to learn how their operations function, document workflows in detail, identify inefficiencies, and create clear process documentation that enables future automation and optimization. The ideal candidate enjoys learning how businesses operate, organizing complex information, and transforming ambiguity into structured systems. What matters most is your ability to quickly learn, communicate effectively, document accurately, and think systematically. We expect candidates to use AI in daily workflows across research, ideation, drafting, design iteration, quality checks, and delivery acceleration. AI usage is a core execution requirement, not optional tooling. Qualifications - Exceptional spoken and written English communication skills. - Strong business communication and comprehension abilities. - Excellent listening skills and attention to detail. - Ability to learn unfamiliar business processes quickly. - Strong organizational and documentation skills. - Analytical mindset with the ability to identify patterns and inefficiencies. - Ability to communicate professionally with U.S.-based clients and stakeholders. - Comfortable working independently and managing multiple projects. Requirements - Experience in consulting, business analysis, operations, project management, customer success, process improvement, or related fields. - Experience working with U.S.-based companies or clients. - Familiarity with process mapping and workflow documentation. - Experience creating SOPs, guides, or operational documentation. - Exposure to AI tools, workflow automation, or business process optimization. Benefits - Competitive base salary + performance incentives. - Professional development opportunities. - Paid time off (PTO).

• Senior EPBCS Consultant with solid experience in projects using Oracle EPM Planning Cloud. • Strong command of the platform's most current features. • Experience in developing and optimizing calculation rules.