Business Analyst - Full-time / Part-time

2018-1994

US-MD-Greenbelt
Category Management Consulting
Type Full-Time/Regular


Overview

This position is for a business analyst on the World Trade Center (WTC) Health Program. The analyst will be responsible for supporting the medical code change control process and developing medical audits.

Responsibilities

• Understands and applies business process design techniques
• Participates in gathering business requirements
• Defines, models and interprets data
• Gains the confidence of the client and Karna staff and builds strong relationships
• Participates in work groups and delivers formal presentations to the client and Karna staff
• Develops and maintains process documentation
• Works in coordination with the Karna Medical Advisors to develop medical audit reports
  • Runs MicroStrategy reports
  • Analyzes data in Excel
  • Develops charts and graphs from the data
  • Records the medical audit findings
  • Presents findings to the client
• Develops business requirements for MicroStrategy reports and communicates them to Technical Operations staff
• Updates and maintains the medical Codebook in a Microsoft Access database
  • Adds new diagnosis and procedure codes on a weekly basis
  • Runs quality assurance queries on a weekly basis, and resolves any issues
  • Creates and publishes the full Codebook in an Excel and PDF format on a monthly basis
  • Updates the Microsoft Access database to incorporate new client or internal team requirements
  • Maintains all process documentation
• Supports the medical code change control process
  • Records code requests in a SharePoint database
  • Responds to code email requests
  • Provides information on codes received, pending and processed on a weekly basis for the Program Dashboard
  • Develops weekly Change Requests to add new diagnosis and procedure codes
  • Performs quality assurance checks on medical code change control spreadsheets as well as on Change Requests
  • Maintains program documentation
• Supports the Provider Enrollment team
  • Enrolls medical providers
  • Reviews and resolves issues with medical claims pended for provider issues
• Participates in a weekly internal staff meeting and a weekly client meeting
• Performs ad hoc research and participates in ad hoc meetings on client and internal staff requests

Qualifications

• Bachelor's degree
• Zero to three years of work experience in business analysis and process modeling, preferably in clinical analytics in a healthcare program
• Advanced knowledge of Microsoft Excel
• Knowledge of Microsoft Access preferred
• Knowledge of MicroStrategy preferred
• Knowledge of Microsoft Visio preferred
• Strong analytical and problem solving skills
• Ability to work in a team and independently
• Good verbal and written communication skills
• Ability to obtain and maintain appropriate clearance

PM18