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Program Business Analyst Jobs

Company

Cognosante, LLC

Address , Remote
Employment type FULL_TIME
Salary $74,815 - $120,826 a year
Expires 2023-10-14
Posted at 8 months ago
Job Description
Security Clearance required:
Able to obtain Public Trust
Cognosante is on a mission to transform our country’s healthcare and national security systems. With our health and security-focused solutions, we help public sector organizations achieve the important task of providing the best possible public services to American Citizens. From Enterprise IT, Data Science, and Security Services, to full-scale Consumer Engagement and Interoperability solutions, we are moving government services forward with transformation and innovation. Learn how we are making a difference in people’s lives today!


Cognosante is looking for a motivated, hands-on Program Integrity Business Analysts with strong logic and interpersonal skills who is up for the challenge of joining a high-performing. As a Business Analyst, you will serve as the primary point of contact with the client’s Business-oriented staff. Working closely with the Project Manager the Business Analyst will support the strategy and implementation for client’s business case, objectives, requirements, constraints, technology landscape, and technology standards. They must have experience in the analysis of IT business and information environment, activities, and events. The Business Analyst must have experience in finding trends, errors, and reviewing data with report writing skills. At Cognosante we foster a supportive, collaborative, and fun environment where team members are empowered to push the envelope of learning and creativity.

***Add important details***

Key Responsibilities
  • Lead team members and stakeholders to anticipate and manage changes to projects, such as but not limited to, technical requirements, business requirements and schedule
  • Suggest and implement improvements to business processes based on applicable state and federal regulations
  • Support the take over and maintain or improve data repository for all data needed to support the program integrity process
  • Knowledge, understanding, compliance, and enforcement of all applicable Federal, State, and Local laws and regulations relating to job duties
  • Coordinate with the client and other contractors as necessary to gain access to and support the data warehouse in providing uploads and automated updates
  • Working with the technical team, maintain or improve core data warehouse capabilities for authorized users to designate the parameters via prompt-based functionality to generate SURS reports
  • Responsible for identifying and meeting customer business objectives, leading team members, and working in a collaborative environment to ensure customer success
  • Perform other duties as assigned by management
  • Liaising between the Enterprise Data Warehouse (EDW) team, executive sponsors, and key business and technical stakeholders
  • Develop and maintain knowledge, awareness, and understanding of company policies and procedures, goals and objectives
  • Provide proactive feedback to team members and stakeholders concerning possible issues or areas of improvement
  • Gather requirements and support project plans for program integrity services with a focus on overpayments
  • Support the maintenance of and improve the process to integrate and interface with the data warehouse to query data and pull reports to identify fraud, waste, and abuse

Required Qualifications
  • Strong interpersonal skills and extremely resourceful
  • Bachelor’s degree in a business discipline. Four (4) years of relevant experience may be substituted for education
  • Proven ability to complete projects according to outlined scope, budget, and timeline
  • Proven ability to solve problems creatively
  • Experience seeing project through the full life cycle
  • Excellent analytics skills

Candidates that do not meet the required qualifications will not be considered.

Additional Minimum Qualifications
  • List additional minimum qualifications

Preferred Qualifications
  • 4+ years of combined medical claim investigation, financial impact analysis, business analysis, compliance or fraud and abuse experience
  • One (1) or more years of experience with Alivia or other program integrity platforms or Medicaid Program Integrity organizations
  • Lean Six Sigma
  • Bachelor’s degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience
  • Experience delivering robust cloud based data analytics projects
  • Agile/Scrum Certification
  • Thorough knowledge of medical terminology
  • Experience with State Health Care Policy and Agencies is a plus
Compensation
$74,814.67 - $120,825.90
The pay range for this job is determined by various factors, including but not necessarily limited to location, responsibilities of the job, and alignment with market data. When determining a salary for this role, the following factors may will be taken into consideration - contract-specific affordability, education, knowledge, skills, competencies and experience. The estimate displayed represents the salary range for this position and is just one component of Cognosante’s total compensation package for employees and is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee.
Cognosante will not provide sponsorship for employment-based immigration benefits for this position.
Like many other growing companies, Cognosante has been targeted by scammers attempting to make fraudulent job offers to potential candidates. Communication from Cognosante recruiting will only be sent with an official corporate domain email (e.g., @cognosante.com or @accurate.com) and not a commercial domain e-mail (e.g., @gmail.com or @yahoo.com). We will never request payment from you, nor will we send payment to you, prior to your start date. If you have been asked to send or receive any payment, or if you have any doubt about whether you have been contacted by a Cognosante employee, please contact us at . Thank you.
Cognosante is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.