*****Excellent Opportunity for a Business Analyst(Healthcare/Medicaid/ HIPPA/ Health Insurance) @ Quincy, MA, 12 months Contract *****

Hi

Greetings of the Day, Hope you are doing great.
This is Sid from x-istech. Please review the requirement and send me an updated word copy of your resume to siddharth@x-istech.com
Feel free to email or call me with any questions you may have.


POSITION:  Business Analyst (Healthcare/Medicaid/ HIPPA/ Health Insurance)
Location: Quincy, MA
Duration: 12 Months
Max pay rate : $ 44.00 /hr on C2C/1099/W2

 

Position Summary:
To assist in the development, coordination, implementation and monitoring of Affordable Care Act (ACA) and Health Insurance Exchange ( HIX) activities related to Provider and community relationships. Ensuring that regulations, policies and objectives are fully supported by the Customer Service contractor and that the contractor communicates those regulations, policies and objectives accurately and in a manner that best represents MassHealth.

 

Responsibilities

• Support the development and implementation of Affordable Care Act (ACA) and Health Insurance Exchange (HIX).

• Lead, facilitate and support workgroups to address all ACA provisions that impact provider (i.e. provider screening and enrollment requirements revalidation, provider disclosures, overpayments, NCCI, etc.).

 

• Collaborate with Business Analyst (BAs) to evaluate all business needs, define system impact, document changes, and Co- sponsor all enhancements.

 

• Develop and implement standards to monitored and evaluate the customer service contractor's compliance with ACA and HIX provisions.

 

• Participate in the review and editing of the Customer Service contractor's   policy and procedures to ensure appropriate adoption and support of ACA and HIX provisions.

 

• Update and maintain Customer Relation's Internal Controls document  consistent with ACA and HIX provisions.

 

• Serve as a Liaison between the customer service contractor, member services and customer relations staff to coordinate and address issues and escalations.

 

• Serve as a key contact for MassHealth staff, Providers and other external stakeholders by providing information on the ongoing implementation, evaluation and monitoring activities

 

• Support the development, validation an ongoing monitoring of reports required to support ACA and HIX  activities. 

 

• Assist the customer service contractor with developing, editing, and maintaining material to be posted on Mass.Gov.

 

• Support the weekly review and editing of provider remit messages, all training material and provider correspondence.

 

• Participate in educational and informational forums (i.e. provider trainings, Provider Association sponsored events or workgroups, MassHealth staff meetings, etc.).
• .
• Coordinate with publications a process and where needed a schedule to finalize and post updates, training schedules and FAQ's that will bring awareness and needed information to external stakeholders.

 

• Provide guidance and materials for the development of training to EOHHS staff.

 

 

Preferred Qualifications

·         Ability to coordinate the efforts of others in accomplishing assigned work objectives.

·         Possess strong time management and organizational skills

·         Bachelor's with a major in business administration, business management, public administration or other relevant areas.                                                                                   

·         The ability to manage and sustain multiple and complex relationships and ensure that lines of communication are open.

·         The ability to work effectively with teams, share information and work collaboratively to solve problems and make decisions.

 

 

 

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I would very much appreciate hearing from you. Looking forward to a fruitful interaction with you .



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Best Regards
Sid
Recruiter
siddharth@x-istech.com
(678) 894-3230 (D)
x-istech
wwww.x-istech.com

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