• Analyze, design, configure, test, implement, and support Epic Hospital Billing (HB) applications • As a top-tier SME, lead the build, maintenance, and optimization of complex reimbursement contracts and payment methodologies • Configure and support Epic Claims and Remittance functionality, including claim generation, payment posting, and reimbursement processing • Collaborate with patient financial services, managed care, revenue integrity, finance, and operational leaders to improve billing and reimbursement outcomes • Translate payer contract requirements into Epic HB system configuration • Configure and support proration methodologies and reimbursement calculations • Troubleshoot complex billing, payment, remittance, and contract-related issues • Perform reimbursement validation and payment variance analysis • Lead system testing, integrated testing, upgrades, enhancements, and payer contract updates • Develop functional specifications, workflow diagrams, and support documentation • Identify opportunities to improve workflow efficiency, reimbursement accuracy, and revenue cycle performance • Provide production support and ongoing optimization recommendations • Serve as a subject matter expert for Epic HB, Claims, Remittance, Contracts, and Proration

Role Description The BCBA is a member of the clinical staff and is responsible for providing professional services including evaluations and treatments, counseling of parent and family units, networking, and other professionals. He/she is detail-oriented, dependable, has excellent clinical competence and clinical judgment, excels at working in a multidisciplinary team environment, and supports the vision of the company. Qualifications - Master's Degree in a field related to Child Psychology, Behavior, etc. - Eighteen months of experience in a human services delivery system including at least one year in a comparable program. - Certification by the Behavior Analyst Certification Board. - CPR certified within the last 2 years. Requirements - Assumes responsibility for the physical safety of the client. - Ensures program effectiveness through active participation in overlaps, regular audits of session notes, taking IOA data, and completing performance books. - Makes programmatic adjustments in accordance with CSLOT’s policies. - Oversees and monitors the intake and continuing assessment process. - Plans, manages, coordinates, and evaluates assigned staff efforts to achieve clinical goals and objectives. - Conduct client assessments. - Provides direct services to the clients and their parents, when appropriate. - Maintains data regarding clients’ progress. - Provides training and supervision of behavior program staff, including Registered Behavior Technicians. - Provides training on behavior to CSLOT staff. - Responsible for recording data and reporting client status to payor sources. - Prepares annual report regarding program effectiveness. - Update Central Reach Calendar daily (illustrating all overlaps/ parent meetings/ team meetings, etc.). - Update Caseload Document daily (i.e., used hours, unused hours, direct hours, indirect hours). - Convert appointments on Central Reach daily. - Provides the total number of hours approved for each client monthly. - Perform staff training, interviews, onboarding, and participate in reviews for program staff. - Will work independently from a HIPAA-compliant home office setting (when appropriate). - Follow CSLOT’s cancellation and make-up policy. - Understand all CSLOT’s payor source services and authorizations. - Perform other job-related duties as assigned.

Role Description The HEDIS User Acceptance Testing Analyst will: - Conduct User Acceptance Testing (UAT) of user interface and reporting based applications, including application analysis, data validation, and testing. - Read and write SQL, Python, PySpark, and shell scripts with knowledge of joins, table and view properties, and ability to review and understand data dictionaries as it relates to a database environment. - Work with health plan data. - Develop data-driven metrics to identify gaps and implement targeted interventions to improve results on key performance measures. - Perform analytics and investigative research. - Evaluate and prioritize data-supported quality improvement recommendations to customers. - Merge and append data from multiple sources. - Provide subject matter guidance to clients on data issues and data questions. - Provide strategic and operational support in preparation of the HEDIS Roadmap, HOQ, and HEDIS audit. - Manage and prioritize large, high visibility projects. - Analyze, review, forecast, and trend complex data; review the accuracy and interpretation of others’ work. - Develop and implement business solutions through research and analysis of data and business processes. - Support short and long-term operational and strategic business activities through analysis and testing. Qualifications - Bachelor’s degree in Data Analytics, Computer Information Systems, Computer Engineering, Electronics Engineering, or related field. - 60 months of experience in job offered or in an analyst-related occupation. Requirements - Experience with HEDIS (Healthcare Effectiveness Data and Information Set) processes including measure calculation, reporting, validation, and submission activities. - Familiarity with health plan data domains including Member, Enrollment, Provider, Lab, Visits, Pharmacy, and related datasets. - Ability to handle supplemental data for HEDIS reporting. - Understanding of CMS Quality Rating System concepts. - Experience with measure analytics to perform investigative research and root cause analysis. - Ability to translate and integrate data from multiple formats and data warehouses. - Knowledge of claims data and claims processing workflows. - Experience evaluating and prioritizing recommendations for quality improvement initiatives for customers. - Ability to develop data-driven metrics to identify gaps and implement interventions to improve performance on key measures. - Experience with User Acceptance Testing (UAT) for user interfaces and reporting applications related to HEDIS. Benefits - Comprehensive medical, dental, and vision benefits. - Matching 401k. - Employee stock purchase plan.

• Elaborar análises econômicas para projetos; • Gerar relatórios com análise crítica de resultados; • Participar de reuniões de acompanhamento de projetos; • Elaborar análises de Risco em softwares corporativos (e.g.: Primavera Risk Analysis); • E outras atividades similares de mesma complexidade e escopo.