What are the responsibilities and job description for the Healthcare Business Analyst (Medicare Program) position at adroitts?
adroitts is a fast-growing IT solutions company that helps businesses adapt and grow in a continuously evolving market. Our tailor-made technological solutions are perfectly aligned to our client’s business goals and objectives. we strive to be a long-term trusted and reliable partner for our customers organization to help overcome IT challenges. Our solutions, methodologies and implementations are designed with customer centric focus and customers ROI. We pride ourselves in our employees feeling welcomed, valued, and involved.
We are seeking a Healthcare Business Analyst with 6 to 9 years of experience.
This position will require being on-site 1 day a week, in either the Chicago or Washington, DC office.
This position will support the Part D Medicare Compliance Officer. Preference will be given to candidates with experience in Medicare Programs.
Designs and documents business process requirements for all related business, financial, and operational systems critical to core business functions within FEP for support of the Medicare Prescription Drug Program, and other Medicare programs. This may require the Business Analyst to research and analyze data in support of business functions, process knowledge, and systems requirements. Recommends new or improvements to existing business and operational processes and procedures. Manages projects to build a Medicare Compliance Program. Manages compliance program auditing and monitoring activities. Assists with audit readiness. This person should have 7 years’ experience in the health payer industry – Blues or FEHBP experience desirable. Experience in Medicare Program Audits or Medicare CPE Audits is desirable. Experience with Compliance Programs is preferred.
Deliverable:
compliance training tracking
auditing and monitoring compliance program
monthly exclusion check monitoring
updating policies and procedures
drafting SOPs
compliance hotline monitoring
compliance program communications
compliance committee meetings
sharepoint folder
compliance program workplan
HPMS memo review and analysis
compliance program liaison with FEP
Medicare Compliance shared mailbox owner
attend monthly MAPD Plan calls
Part CD ListServ owner
assist with Compliance Program audit readiness
We are looking forward to hearing from you!
Best,
adroitts
Job Type: Full-time
Pay: $50.00 - $65.00 per hour
Schedule:
- 8 hour shift
Work Location: Hybrid remote in Washington, DC 20001
Salary : $50 - $65
