Demo

Healthcare Business Analyst - MN - Locals only - Onsite

Cyber Sphere LLC
Minneapolis, MN Full Time
POSTED ON 2/7/2025
AVAILABLE BEFORE 4/7/2025

Job Details

Title: Healthcare Business Analyst
Location: Minneapolis, MN --- Initial 2-3 months onsite and its goes to hybrid/remote.
Duration: Longterm
Responsibilities:
  • Analyze end-to-end claims workflows, from submission to payment.
  • Collaborate with stakeholders (insurers, providers, patients) to identify process improvements.
  • Understand how to Ensure compliance with industry standards (e.g., HIPAA)
  • Evaluate pre-authorization requests for medical services or procedures.
  • Verify medical necessity and adherence to guidelines.
  • Facilitate timely approvals by working closely with providers and payers.
  • Utilize tools like Excel, SQL, and data visualization platforms.
  • Create reports, dashboards, and presentations to communicate insights.
  • Monitor performance metrics related to claims and pre-authorization.
  • Collaborate with IT teams to enhance products and development of claims processing systems.
  • Gather requirements for system upgrades and new features.
  • Maintain strong communication with cross-functional business units.

Regards,

Vinay Ram

(Direct)

Desk:

Suwanee, GA - 30024

An MBE & eVerify Company

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