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Immediate Hiring: Senior Business Analyst Consultant - Remote

Remote, USA Full-time Posted 2025-04-26

Position at a Glance:

  • Company: Workwarp
  • Location: Remote
  • Compensation: a competitive salary
  • Start Date: Immediate openings available
  • Position: Senior Business Analyst Consultant - Remote

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Employer Industry: Healthcare Services

    Why consider this job opportunity...
  • Salary up to $190,400 annually
  • Comprehensive benefits package including equity stock purchase and 401k contribution
  • Opportunity for career advancement and growth within the organization
  • Work remotely from anywhere within the U.S.
  • Incentive and recognition programs available
  • Supportive and inclusive company culture focused on health equity
    What to Expect (Job Responsibilities):
  • Coordinate with Market, Finance, Product, Medical Directors, and Healthcare Economics to identify and implement payment integrity opportunities
  • Develop and implement payment integrity solutions through research and analysis of data and local business processes
  • Lead program management for all California payment integrity services
  • Create business cases to influence market partners and stakeholders for prioritizing new initiatives
  • Ensure adherence to state and federal compliance policies and operational metrics
    What is Required (Qualifications):
  • 5+ years of experience in the healthcare industry
  • 5+ years of experience working within MA, Medicaid and/or commercial lines of business
  • Experience with product/vendor implementations and end-to-end process ownership for payment integrity programs
  • Proficiency in Microsoft Office: Word, Excel, PowerPoint, and Visio
  • Proven ability to manage competing priorities and engage with clients effectively
    How to Stand Out (Preferred Qualifications):
  • 1 or more of the following certifications: CPC, CPCO, AHFI, HCAFA, CFE
  • Experience interpreting provider contractual agreements
  • Experience managing a comprehensive portfolio of programs
  • Proficiency in performing financial analysis/audit
  • Comfortable with PMPM calculations and financial goal accountability

#HealthcareServices #RemoteWork #CareerGrowth #CompetitiveSalary #DiversityAndInclusion

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Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer Apply Job!

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