advisor business analyst mmis medicaid pharmacy

Gainwell Technologies LLC

<div><p>Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.</p><p></p><div><div><div><h2 class="jobSectionHeader"><b><br>
Summary</b></h2></div><div><p>
As an <b>Advisor Business Analyst - MMIS / Medicaid Pharmacy</b> at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve &mdash; a community&rsquo;s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare&rsquo;s biggest challenges. Here are the details on this position.</p><p></p><p><br>
The <b>Advisor Business Analyst</b> supports business, policy, and technical execution across one or more functional domains within MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment. Supported domains may include Member, Provider, Claims (Medicaid, Dental and/or Pharmacy), Finance, Plan and Care Management, and Business Relationship Management.</p><p>
This role supports end‑to‑end domain delivery by translating <b>state and federal Medicaid policy</b> and program requirements into product features, system configuration, and design artifacts. The Business Analyst works closely with the <b>Domain Lead</b>, <b>Technical Analysts</b>, and cross‑functional teams and acts as a <b>domain and policy subject</b>‑<b>matter expert (SME)</b> to ensure successful implementation and operational readiness.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Your role in our mission</b></h2></div><div><h3 class="jobSectionHeader"><b>
Requirements &amp; Design</b></h3><ul><li>
Acts as the primary <b>Domain SME</b>, serving as a trusted advisor to the Engagement Lead (EL) on business processes and associated regulatory and operational impacts.</li><li>
Ensures compliance alignment by validating that solution design and configuration conform to <b>CMS guidance, state policy, and documented business rules</b>.</li><li>
Supports the EL with <b>in‑scope negotiations and change control</b>, providing domain expertise to assess scope trade‑offs and the functional, regulatory, and operational impacts of change requests.</li><li>
Lead and participate in collaborative requirements and design sessions with clients and internal teams to validate functional and technical needs.</li><li>
Interpret state and federal Medicaid policy, regulations, and program rules and translate them into product features, system configuration, business rules, and design artifacts.</li><li>
Serve as a <b>policy and domain SME</b>, supporting the Domain Lead with analysis, interpretation, and solution recommendations.</li><li>
Develop and maintain domain design documentation, with the <b>Design Document as a core deliverable</b>, covering workflows, interfaces, X12 EDI transactions, letters, and reports.</li><li>
Ensure accuracy, completeness, and traceability of requirements and acceptance criteria.</li><li>
Document and communicate domain‑level decisions, risks, assumptions, and dependencies, assessing downstream impacts.</li></ul><p></p><h3 class="jobSectionHeader"><b><br>
Build / Configuration</b></h3><ul><li>
Support domain‑specific configuration and implementation activities within Design, Development, and Implementation (DDI) projects.</li><li>
Responsible for configuration and partner with technical teams to ensure solutions align with approved design documentation, Medicaid policy interpretation, and documented business rules Key configurations include but not limited to:<ul><li>
Claims: Edits, pricing, benefit limits,, adjudication logic</li><li>
Plan: Contracts, benefits, programs, fee schedules</li><li>
Provider: Provider types, specialties, contracts, enrollment, credentialing</li><li>
Member: Eligibility, benefits, benefit plans, demographic</li><li>
Pharmacy: RX benefits, RX claims processing</li></ul></li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
.... your role continued</b></h2></div><div><h3 class="jobSectionHeader"><b>
Testing</b></h3><ul><li>
Review test cases to ensure alignment with requirements, policy interpretation, and acceptance criteria.</li><li>
Provide domain SME support during System Integration Testing (SIT) and User Acceptance Testing (UAT).</li><li>
Support defect analysis, root‑cause investigation, resolution, retesting, and functional readiness validation.</li></ul><p></p><h3 class="jobSectionHeader"><b><br>
Operational Readiness &amp; Deployment</b></h3><ul><li>
Support operational readiness activities, including environment, data, process, and staffing readiness.</li><li>
Provide domain and policy input for Operational Readiness Reviews (ORR), parallel testing, and performance testing.</li><li>
Support cutover preparation, transition to operations, and hypercare activities.</li></ul><p></p><h3 class="jobSectionHeader"><b><br>
Collaboration &amp; Client Engagement</b></h3><ul><li>
Work closely with the <b>Domain Lead</b> and <b>Technical Analysts</b>, acting as a trusted domain and policy SME.</li><li>
Lead and support <b>client communication</b>, including requirement discussions, design reviews, and issue resolution.</li><li>
Plan and deliver <b>functional demos and solution walkthroughs</b> to showcase product features and validate alignment with client requirements.</li><li>
Facilitate and participate in <b>collaborative working sessions</b> with business stakeholders, configuration teams, and technical teams.</li><li>
Support documentation, knowledge transfer, and ongoing operational support.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What we're looking for</b></h2></div><div><ul><li>
Bachelor&rsquo;s degree in Computer Science, Information Systems, Health Informatics, or a related field.</li><li><b>
5 to 8 years of hands</b>‑<b>on experience supporting healthcare system implementations</b>, including MMIS solutions and Medicaid Pharmacy platforms.</li><li>
Experience with <b>QNXT</b> or similar healthcare claims/encounter management systems.</li><li><b>
Strong knowledge of state and federal Medicaid policy, regulations, and program rules (required).</b></li><li>
Strong understanding of Medicaid domains, including claims, member, provider, and prior authorization processes.</li><li>
Demonstrated experience translating policy and program rules into system requirements, configuration support, and design artifacts.</li><li><b>
Strong knowledge of SQL is required</b>, particularly for data analysis and validation.</li><li><b>
Strong client communication skills</b>, with experience interacting directly with business stakeholders.</li><li>
Proven ability to <b>lead or support functional demonstrations, walkthroughs, and collaborative working sessions</b>.</li><li>
Strong documentation, facilitation, and analytical skills.</li><li>
Experience working in SDLC and Agile delivery environments.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What Sets You Apart</b></h2></div><div><ul><li>
Knowledge of <b>MITA (Medicaid Information Technology Architecture)</b>.</li><li>
Experience with system integrations, EDI/X12 transactions, analytics, and reporting.</li><li>
Familiarity with state and federal healthcare regulations and compliance standards.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What you should expect in this role</b></h2></div><div><ul><li>
Fully remote options from Contiguous US locations only</li></ul><ul><li>
Video cameras must be used during all interviews, as well as during the initial week of orientation</li><li><b>
This posting is intended for pipelining. This is a developing position therefore the job description is subject to change.</b></li></ul><p>
#LI-HC1</p><p>
#LI-MMIS</p><p>
#LI-Medicaid Pharmacy</p></div></div></div><p></p><p><br>
The pay range for this position is $86,800 - $124,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><p></p><p><br>
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><p></p><p><i><br>
Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div>

Advisor Business Analyst - MMIS / Medicaid Pharmacy

PCI Government Services LLC

<div><div><b>Essential Duties and Responsibilities</b></div>
<ul><li>Serves as the Budget Analyst responsible for financial management and analysis for contracts and other TDY requests for Mission Iraq &ndash; overseas and domestic which entails a variety of budgetary and analytical duties to include possible discussions with the Bureau of Global Acquisitions (GA) and various vendors for the Department supporting Mission Iraq.</li>
<li>Develops projections and budgetary analysis for financial management needed by the Senior Financial Management Advisor for Iraq and other Senior Budget Officials in the Bureau and Department.</li>
<li>Using GFMS, IBIS, GBI, and other Department financial tools and systems, design, prepare, and analyze complex financial data for financial analysis, invoices, and various financial documents for presentations and justifications for Mission Iraq operations.</li>
<li>Assists in providing budget oversight, control, and execution for the assigned budget area, with focus for Mission Iraq, particularly status of funds and management, as appropriate. Incumbent also assists in preparing instructions and guidelines for the Bureau officials to use in financial control and other financial assets.</li>
<li>Represents the Senior Financial Management Advisor in various financial management meetings, as necessary.</li>
<li>Provides funding and other financial instruments to various parties, such as the Department of Defense as instructed/ needed.</li>
<li>Assists in the development and preparation of documentation and justification for assigned budget issues, presentations and submissions to the Office of Management and Budget (OMB), Congressional Committees and staff, and other relevant officers, bureaus and offices inside and outside of the Department.</li>
<li>Ensure that effective flow of documents on financial management/fiscal data, maintain and controlled within the Bureau and the Department for efficient management of payment of invoices, and providing fiscal data for Posts as necessary.</li>
<li>Prepares memorandum and other communications relevant to any financial management issues for the Bureau, particularly for Mission Iraq and other activities as assigned by the Senior Management.</li>
<li>Receives, schedules, and makes proper disposition of funds coming and going into the office. Makes available for all calls from the vendor, Contracting Officer&rsquo;s Representatives (COR), Contracting Officers, Contract Specialists and all program managers of NEA Bureau, as necessary.</li>
<li>Maintains the tight tracking of all invoices and modifications for all Iraq financial transactions, contracts and payments; the incumbent handles all requests for meetings and appointments, decides the distribution materials of related activities for the Senior Financial Management Advisor for Iraq. Arranges for briefings by appropriate officers; and discusses with officials invited to meetings scheduled by the Executive Director the subject of the meetings in order that they will be properly informed and provided with necessary information.</li>
<li>Serves in a liaison capacity between the Senior Financial Management Advisor for Iraq and other Iraq staff within NEA Bureau. Assures that all staff is currently informed on the status of matters under discussion or consideration.</li>
<li>As requested, or on his/her own initiative, makes careful and exhaustive searches for all financial information difficult to obtain, compiles data and makes preliminary analyses.</li>
<li>Responsible for carrying out special assignments for the Senior Financial Management Advisor for Iraq which require a high degree of follow up and tracking and analysis.</li>
<li>Reviews all incoming reimbursements, invoices and payment requests and forwards it with necessary information and back up documents or instructions to the appropriate offices for action and clearance by the Senior Financial Management Advisor for Iraq.</li>
<li>Processes/reviews all incoming and outgoing financial requests, memos and related correspondence relevant to financial managements for Iraq. Prepares reports, memoranda and other forms of written communication, as necessary.</li>
</ul>
<div></div><div><b>Education and Qualifications</b></div>
<ul><li>Must possess or be able to obtain/maintain a Moderate Risk Public Trust (MRPT)</li>
<li>Ability to work under pressure and tight or short deadlines.</li>
<li>Excellent knowledge of Department of State operations, financial management overseas and domestic, and overall office and payment management experience.</li>
<li>Working knowledge of personal computers and general administrative practices, skills on EXCEL, WORD, and other Microsoft applications used in the office.</li></ul></div>

Financial Management Analyst

Chevo

<div>Description:<p><br>
</p><p><b><i>Chevo</i></b> is currently hiring a <b>CPIC Analyst</b> to support an awarded and funded project. This position will provide the opportunity for significant client interaction by learning the client&rsquo;s business and becoming a trusted advisor. The ideal candidate will demonstrate versatility in understanding and performing work related to budget, capital planning, program governance, and system development life cycle management activities. This position is a hybrid work environment, with onsite location in Washington, DC.</p><p><b><br>
Duties and Responsibilities:</b></p><ul><li>
Perform routine updates (i.e., monthly, quarterly and annually, as applicable) and maintenance to documentation, artifacts, and AgMax system updates for assigned major IT investments (current workload is two).</li><li>
Will plan the timing of updates to achieve timely submissions for the scheduled investment scoring against USDA&rsquo;s Investment Scoring Criteria.</li><li>
Will act as the organization&rsquo;s designated representative to the USDA Capital Planning and Investment Control (CPIC) Community of Practice. Develops, creates and drafts executive artifacts (i.e., slide decks, standard templates, charters, etc.) for internal and external Investment Boards and USDA CIO oversight.</li><li>
Leveraging general subject-matter awareness of the Federal Information Technology Acquisition Reform Act (FITARA), passed by Congress in December 2014 and operationalized through USDA CPIC regulations, policy, and briefings, the incumbent may advise OCIO executives on updates to administrative workflows, signature authorities, and the enhancement of controls and reporting for assigned major investments.</li></ul>
Requirements:<p><br>
</p><p><b>Required Qualifications:</b></p><ul><li>
Bachelor&rsquo;s Degree in a related field or equivalent experience*</li><li>
Three (3+) years' Budget and/or management consulting experience with a knowledge of CPIC and IT Governance</li><li>
Project Management Professional (PMP) tools</li><li>
Advanced Microsoft Office Excel skills</li><li>
Advanced Microsoft Office 365 Word skills</li><li>
Microsoft Office 365 PowerPoint skills</li><li>
Microsoft Teams and collaboration tools Microsoft SharePoint</li><li>
Prior experience with USDA&rsquo;s AgMax System is a plus.</li><li>
Ability to pass client security clearance requirements</li><li>
Must have general subject matter awareness of the Federal Information Technology Acquisition Reform Act (FITARA), passed by Congress in December 2014.</li></ul><p></p><p><b><br>
Desired Qualifications:</b></p><ul><li>
Strong oral and written communication skills and the ability to present a polished, professional, and diplomatic image to clients</li><li>
Excellent client handling skills</li><li>
Strong analytical skills &ndash; assertive and inquisitive manner that allows the individual to take even indirectly related and orally communicated information and transform it into actionable information.</li></ul><p>
SALARY RANGE: $94,500 - $111,500 (subject to change)</p><p>
ELIGIBLE FOR PERFORMANCE BASE BONUS</p><p><b><i>
Chevo</i></b> offers a comprehensive benefits package including medical, dental and vision coverage, paid leave, observes all 11 federal government holidays, 401K plan with matching, monthly SMART card employer contribution for commuting expenses, tuition assistance and more!</p><p><b><i>
Chevo</i></b>, a Women-Owned Small Business (WOSB), has made Consulting Magazine&rsquo;s 2023 and 2024 &ldquo;Best Firms to Work For&rdquo; list and is a 2023, 2024, 2025, and 2026 Elev8 GovCon honoree. <b><i>Chevo</i></b> is a nine-time awardee of the Alliance for Workplace Excellence award; ranked one of the best Small Business Strategy firms by Consulting Magazine; made the Washington Technology Fast 50 list; and has earned multiple Program Management Industry awards.</p><p><b><i>
Chevo</i></b> is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin, or any other characteristic protected under federal, state, or applicable local law<b>.</b></p></div>

CPIC Analyst

Humana

<div><h1 class="jobSectionHeader"><b>Become a part of our caring community</b><br>
</h1>
Retention is a critical component of Humana&rsquo;s overall Medicare growth strategy and an enterprise wide priority. The Strategy Advancement Advisor is a key contributor within Humana&rsquo;s Consumer Strategy organization, supporting the development, execution, and evolution of strategies that drive retention while contributing to broader enterprise priorities.<br>
<br>
This role blends strategy support, data-driven analysis, and cross-functional execution. While the primary focus is on retention initiatives, the role also supports adjacent enterprise and consumer strategy efforts where retention intersects with experience, Stars, growth, and transformation priorities.<br>
<br>
Humana is seeking an experienced professional with strategy, healthcare, or consulting experience who can work independently, navigate ambiguity, and effectively advise leaders across the organization.<p></p><p><b>
Key Responsibilities</b></p><ul><li>
Manage analysis and discrete workstreams supporting enterprise retention initiatives and adjacent Consumer Strategy priorities</li><li>
Analyze Medicare retention performance using internal and external data to identify insights, risks, and opportunities</li><li>
Collaborate with teams across product, marketing, sales, service, analytics, clinical, and operations to translate strategy into action</li><li>
Develop and present clear, compelling materials and insights for leadership, governance forums, and cross‑functional partners</li><li>
Support the evaluation and advancement of pilots, initiatives, or business cases that improve retention and related enterprise outcomes</li></ul><h1 class="jobSectionHeader"><br>
<b>
Use your skills to make an impact</b><br>
<b>
</b></h1><p><b>Required Qualifications</b></p><ul><li><p>
5+ years of experience leading or owning analysis and workstreams within complex, cross-functional initiatives</p></li><li><p>
Experience using data and insights to solve business problems or inform strategy</p></li><li><p>
Strong organizational skills with the ability to manage multiple priorities and move work forward independently</p></li><li><p>
Strong verbal and written communication skills, including comfort presenting to senior leaders</p></li></ul><p></p><p><b>
Preferred Qualifications</b></p><ul><li><p>
MBA or other relevant graduate degree</p></li><li><p>
Strategy consulting or corporate/business unit strategy experience</p></li><li><p>
Healthcare experience, preferably in Medicare Advantage</p></li></ul><p></p><p><b>
Additional Information</b></p><p>
This position may be hybrid in Boston, MA; Louisville, KY; Washington, DC; or Chicago, IL, or fully remote. Remote candidates should be comfortable working in Eastern Standard Time.</p><p></p>
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.<p></p><p><b>
Scheduled Weekly Hours</b></p><p></p>
40<p></p><p><b>
Pay Range</b></p>
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.<br>
<p></p>
$138,200 - $190,100 per year<br>
<p></p>
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.<p></p><p><b>
Description of Benefits</b></p>
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<p></p><h1 class="jobSectionHeader"><b><br>
About Us</b><br>
</h1>
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.<p></p><p><br>
<br>
<b>Equal Opportunity Employer</b></p><p></p><p>
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</p></div>

Strategy Advancement Advisor – Medicare Retention Strategy

Arbor Health

<div><h3 class="jobSectionHeader"><b>Category:</b></h3>
<p>Administrative/Clerical</p>
<h3 class="jobSectionHeader"><b>Schedule:</b></h3>
<p>Full-time</p>
<h3 class="jobSectionHeader"><b>Description:</b></h3>
<p>The Charge Master Data Analyst (CMDA) is responsible for maintaining, updating, reviewing and reconciling the charge master for the organization. This role is part of the Patient Business Office but serves the entire organization. Patient Account Representative is responsible for managing the financial aspects of healthcare services, including claims processing, payment posting, and patient billing. They ensure accurate and timely reimbursement for healthcare providers by submitting claims to insurance companies, following up on unpaid claims, and managing patient payments. Acts as a liaison between patients, insurance companies, and healthcare providers.</p>
<h3 class="jobSectionHeader"><b>
Minimum qualifications:</b></h3>
<ul><li>High School diploma or GED equivalent preferred.</li>
<li>Experience and an understanding of charge capture, fee schedules, coding, billing, compliance and basic charge master principles.</li>
<li>Understanding of laws and regulations as they pertain to coding, billing and pricing preferred.</li>
<li>Prior medical/clinic billing experience preferred.</li>
<li>One year computer training and/or experience, accurate typing skills, experience dealing with public and multi-line telephones.</li>
<li>Computer, telephones, copy and fax machines, printers, 10-key calculator.</li>
<li>Excellent communication, visual perception and reasoning necessary to accurately interpret changes, guidelines and policies.</li>
<li>Must work independently and use good judgment when making decisions and recommendations regarding charging/documentation practices.</li>
</ul><h3 class="jobSectionHeader"><b>Primary job responsibilities:</b></h3>
<h4 class="jobSectionHeader"><b>Charge Master Data Analyst (CMDA)</b></h4>
<ul><li>Charge Master Review.</li>
<li>Updating and maintaining the charge master.</li>
<li>Works with CFO on pricing.</li>
<li>Works with other departments on charge master changes, updates and issues.</li>
<li>Opening up and managing SR&rsquo;s related to AR, team and charge master.</li>
<li>Proactively works assigned reports; suspended charges, GL 999 errors, and other reports as assigned.</li>
<li>Review and understand regulations regarding to charge master activities.
</li><li>Proactively communicates changes, issues, concerns, and updates to charge master.
</li><li>Creates policies and procedures related to charge master processes.
</li><li>Communicates professionally and clearly with patients, team, leadership and other employees.
</li><li>Other duties as assigned.
</li></ul><p><b>Patient Account Representative (Medical Biller)</b></p>
<ul>
<li>Initial billing for all insurances; Commercial Regence, Government and Workers' Comp, Medicare, Medicaid, Premera.</li>
<li>Responsible to know and follow billing instructions by payer/service specific.</li>
<li>Responsible for follow-up procedures for collection to include phone calls, letters, account adjustments and documentation.</li>
<li>Verify overpayments and process refunds.</li>
<li>Investigate and resolve claim denials.</li>
<li>Submit accurate account adjustments.</li>
<li>Responsible to work a minimum of 50 accounts each day.</li>
<li>Edit, validate claims in Rev Manager to be released daily.</li>
<li>Maintain AR days less than 12% in the 120&gt; aging category.</li>
<li>Communicate professionally and clearly with patients.</li>
<li>Other Duties as assigned.</li>
</ul><h3 class="jobSectionHeader"><b>Standard for portrayal of mission and values:</b></h3>
<ul><li>Employee demonstrates and fosters the Lewis County Hospital District No. 1 core values of - One team, on Mission. Go out of your way, to brighten someone's day. Own it, embrace it. Care like crazy. Motivate, elevate, appreciate. Know the way, show the way, ease the way. Find joy along the way.</li>
<li>Employee demonstrates and fosters the mission of Lewis County Hospital District No. 1 to foster trust and nurture a healthy community.</li>
<li>Is cooperative and supportive to others within the department and hospital providing care and services.</li>
<li>Treats individuals including patients, co-workers, supervisors, management, patient families, physicians, volunteers, visitors and others with respect, dignity and fairness.</li>
<li>Behaves professionally and ethically in all interactions with patients, co-workers, supervisors, management, patients' families, physicians volunteers, and others.</li>
<li>Is consistently courteous to patients, co-workers, supervisors, management, patient&rsquo;s families, physicians, volunteers and others; greets individuals and provides assistance and direction in an attentive and helpful manner.</li>
<li>Willingly strives at continuous quality improvement to achieve quality work the first time every time.</li>
<li>Is willing to learn new procedures and develop new skills for the purpose of improving quality of care and services.</li>
<li>Willingly participates as a member of work team(s) supporting the goals and objectives of the department and the district.</li>
<li>When answering the telephone, is courteous to caller, clearly identifies department, name and takes a message or directs calls as necessary in a helpful manner.</li>
</ul>
<p>This position has the possibility of being a remote position if located in WA state with previous medical billing experience once training is completed.</p>
<h3 class="jobSectionHeader"><b>
Benefits Include:</b></h3>
<p>
Medical, Dental and Vision, 403(b) with a maximum match of 6% (match depends on years of experience in the healthcare field), Employer paid life insurance at 1x your annual rate of salary, Employer paid long term disability, EAP, PTO accrual (.0789/hr. up to 40 hours/week) &amp; Paid Sick Leave accrual (.025/hr. up to 40 hours/week. PTO &amp; Sick leave accrual combination meets requirements of Washington Paid Sick leave requirements).</p></div><p></p>

Charge Master Data Analyst/Patient Account Representative (Medical Biller) (Full Time)

csengineering

<div><p><b>Business Systems Analyst
</b><br>
<br>
<b>**Future Opportunity**</b></p><p>
CSEngineering is seeking a Business Systems Analyst to join our growing team! This role serves as a subject matter expert in business processes, responsible for formulating systems scope and objectives aligned with organizational business plans and industry requirements. The ideal candidate will bring strong DoD lifecycle management knowledge and the ability to provide technical guidance on the business implications of various systems within a Defense Agency environment.<br>
<br>
<b>JOB RESPONSIBILITIES</b></p><ul><li>
The Business Systems Analyst will serve as an expert in particular business processes and will be responsible for formulating systems scope and objectives relative to the organization's business plan and industry requirements. This includes providing technical guidance concerning the business implications of the application of various systems.</li><li>
The Business Systems Analyst will act as a member of a project team, supporting the full DoD acquisition lifecycle in accordance with DoD 5000.1, 5000.2, and the associated Guidebook. This includes supporting Planning, Programming, Budget, and Execution (PPBE) activities and leveraging the ARIS system engineering tool as required.</li><li>
The position will prepare and format reports for the Defense Acquisition Executive Summary (DAES) OSD and the Defense Acquisition Management Information Retrieval (DAMIR) system.
</li><li>The role requires demonstrated familiarity with DoD reporting standards and acquisition management processes.</li><li>
The Business Systems Analyst will support cross-functional project teams by providing analysis and recommendations that bridge business operations and technical systems. This includes identifying opportunities to improve system alignment with organizational goals and mission priorities.</li></ul><p><b>
REQUIRED QUALIFICATIONS
</b></p><p><b><i>Security Clearance: Active Top Secret</i></b></p><ul><li><p>
Bachelor's Degree required</p></li><li><p>
Minimum of four (4) years of relevant experience.</p></li><li><p>
Demonstrated experience preparing reports for the Defense Acquisition Executive Summary (DAES) OSD and the Defense Acquisition Management Information Retrieval (DAMIR) system.</p></li><li><p>
Knowledge of DoD Lifecycle Management and DoD 5000.1, 5000.2, and the associated Guidebook.</p></li><li><p>
Experience supporting Planning, Programming, Budget, and Execution (PPBE) processes.</p></li><li><p>
Proficiency with the ARIS system engineering tool.</p></li><li><p>
Strong analytical, communication, and organizational skills with the ability to provide technical guidance to project teams and leadership.</p></li></ul><p><b>
Location:</b> Washington, DC (NCR) with potential travel to other government sites as required.</p><p><b>
COMPANY OVERVIEW</b></p><p><b>
Who we are-</b> CSEngineering, a Service-Disabled Veteran-owned small business established in 2002, is dedicated to becoming the premier engineering and services firm in our industry, all while prioritizing client satisfaction above all else.</p><p><b>
What we do</b>- With a rich history of excellence, we boast significant expertise in a wide array of areas, including satellite systems, weapons and missile systems, naval architecture, aviation systems, IT and Enterprise Architecture, and more. We offer a comprehensive range of services, including logistics, program management, and IT operations. As a recipient of the Hire Vets Gold Medallion award, we're proud of our commitment to veteran hiring, retention, and professional development.</p><p><b>
Why should you be a part of CSE-</b> At CSEngineering, our employees are at the heart of everything we do. We foster a culture of passion and growth, where individuals are encouraged to excel build fulfilling careers, and continually strive for excellence. Our dedication to innovation and excellence propels us forward, as we continuously strive to set new standards in our industry. Join us and be part of a team that's redefining what's possible.</p><p><i>
CSE offers a competitive salary and comprehensive benefits package, including medical, dental, life, disability, 401k, and paid time off.</i></p><p><i>
CSE is an equal opportunity employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity and veteran status.</i></p></div>

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