Oxford Global Resources - Milwaukee, WI

posted 5 days ago

Full-time
Milwaukee, WI
Administrative and Support Services

About the position

The healthcare business analyst plays a crucial role in identifying problems and areas for improvement within a medical facility to enhance performance and profitability. This position involves analyzing financial activities, managing expenses, and developing reporting systems that meet departmental needs.

Responsibilities

  • Pinpoint problems or improvement areas within a medical facility to maximize performance and profit.
  • Assess financial activity and seek ways to manage expenses like overtime wages and the cost of supplies.
  • Analyze reporting needs and develop systems responsive to departmental needs.
  • Develop and maintain production reporting capabilities.
  • Monitor the timely and accurate production and distribution of all standard and special user-generated reports.
  • Provide support to the Utilization Management Department for personal computer usage by teaching classes and developing new applications.
  • Utilize SAS SQL SOURCE and other statistical software packages to extract and analyze data required by the Department.

Requirements

  • Expertise in EDI and HIPAA Testing with exposure to multiple transactions such as 837, 835, 834, 820, 270, 271, 276, 277, and 278.
  • Strong knowledge of managed care payer requirements and operational improvements.
  • Experience as a Business Analyst in the Healthcare Industry, particularly in Claim Processing, Billing/Invoicing, and Customer Care.

Benefits

  • Supplemental medical, dental, vision, life, and disability benefit plans.
  • 401(k) Retirement Savings Plan.
  • Paid holidays based on eligibility.
  • Paid sick leave as required by applicable jurisdiction.
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