business analyst

Baker Tilly US

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 Overview
 
 
 
 Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world&rsquo;s leading financial centers &ndash; New York, London, San Francisco, Los Angeles, Chicago and Boston. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP (Baker Tilly) provide professional services through an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly US, LLP is a licensed independent CPA firm that provides attest services to its clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and business advisory services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities are not licensed CPA firms.
 
 
 Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Visit bakertilly.com or join the conversation on LinkedIn, Facebook and Instagram.
 
 
 Please discuss the work location status with your Baker Tilly talent acquisition professional to understand the requirements for an opportunity you are exploring.
 
 
 
 Baker Tilly is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status, gender identity, sexual orientation, or any other legally protected basis, in accordance with applicable federal, state or local law.
 
 
 
 
 Any unsolicited resumes submitted through our website or to Baker Tilly Advisory Group, LP, employee e-mail accounts are considered property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency fees. In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP, there must be a formal written agreement in place and the agency must be invited, by Baker Tilly's Talent Attraction team, to submit candidates for review via our applicant tracking system.
 
 
 
 
 Job Description
 
 
 
 Baker Tilly Healthcare Consulting providers management and technology consulting services to healthcare insurance companies and health systems. As a member of our consulting team you can expect to work with clients a variety of project types spanning full system implementation to business transformation roadmaps to healthcare analytics projects. Our team members participate in all phases of client engagements from project concepting to deployment and support
 
 
 Join a talented, collegial team in our fast past growing, innovative practice that enables our clients to expand and efficiently run their businesses.
 
 
 Key Responsibilities
 
 
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 Contribute to process improvement and business transformation projects for Baker Tilly&rsquo;s healthcare clients including healthcare payers and providers
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 Collaborate with clients and internal teams through discovery sessions and interviews to identify, understand and translate business needs, processes and challenges into effective process documentation and requirements
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 Define key processes and capabilities to develop deliverables like process maps, capability definitions, or reporting inventories
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 Participate in various phases of system implementations or optimizations which may include supporting client engagements with:
 </li>
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 Design definition
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 System and acceptance testing and validation activities that solutions meet client needs
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 Data mapping, migration and integration efforts
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 Support for defect tracking, assessment, and categorization
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 Post go-live support
 
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 </ul>
 </ul>
 
 Qualifications
 
 
 
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 Bachelor&rsquo;s degree in accounting, business, finance, engineering, computer science, management information systems, healthcare, public health, or related field
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 Minimum of one (1) years of related experience; previous healthcare industry and consulting experience preferred
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 Flexibility to travel to client site as needed and work outside of normal business hours due to client demands.
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 Demonstrate management, analytical, organization, interpersonal, project management, communication skills, and highly developed Microsoft Suite skills (Word, Excel) required
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 Self-motivation, organization, time-management, and deductive problem-solving skills.
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 Ability to lead and supervise others, provide exceptional client service, demonstrate commitment to continuous learning in order to stay current regarding applicable strategies, see the "big picture" as well as the details, display appropriate ethical knowledge and commitment, and exhibit a sense of urgency and commitment to quality and the timely completion of projects
 </li>
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 Project experience with full lifecycle application development (e.g. requirements gathering, use case development, system analysis and design, integration, testing, deployment)
 </li>
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 Data experience, e.g. familiarity with relational databases and SQL is preferred
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 Experience with software testing tools and methodologies is preferred
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 Business analysis tools and methodologies is preferred
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 Familiarity with both Agile and Waterfall methodologies and best practices is preferred
 </li>
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 Experience with Agile project management tools (e.g., Jira, Trello) is preferred
 </li>
 <li>
 Process automation capabilities is preferred
 </li>
 <li>
 Practical experience with healthcare, e.g. in work for providers or insurance companies is preferred
 
 
 </li>
 </ul>
 The pay rate range for this job position is 64,990 - 123,230. Actual compensation is influenced by a variety of relevant factors including but not limited to applicant&rsquo;s skills, prior experience, qualifications, degrees, professional certifications, work arrangements and geographic location. Baker Tilly offers a comprehensive compensation and benefits package to eligible employees.
</div>

Business Analyst

Humana

<div>
 
 Become a part of our caring community
 
 
 
 The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment,
 
 
 As the Coding Educator 2 you will
 
 
 <ul>
 <li>
 Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements.
 </li>
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 Identify educational needs based on reports
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 Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques.
 </li>
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 Provider onsite education, based on business needs
 </li>
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 Collaboration with other market provider facing role
 </li>
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 Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards.
 </li>
 <li>
 Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions.
 </li>
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 Participate in cross-functional teams to improve documentation, data integrity, and workflow processes
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 
 Use your skills to make an impact
 
 
 
 <ul>
 <li>
 AHIMA or AAPC CPC (Certified Professional Coder) Certification
 </li>
 <li>
 3 or more years of medical coding education or auditing in a healthcare setting experience
 </li>
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 Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience interpreting large data sets
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 Experience speaking with leadership, webinars public speaking and presentation skills with healthcare providers
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 Medicare Risk Adjustment knowledge
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 Familiar with coding guidelines
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 Live in NC, SC, GA, VA, MD, TN, or FL
 
 
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 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Bachelor's Degree
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 CRC -Certified Risk Adjustment Coder
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 Experience working with healthcare providers
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 Strong knowledge of all Microsoft Office applications
 </li>
 <li>
 Valid Driver's license and reliable transportation
 
 
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 </ul>
 
 Additional Information
 
 
 
 Work at home - with travel (up to 5%) to surrounding provider offices
 
 
 As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
 
 
 If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
 
 
 If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
 
 
 
 Work at Home Guidance
 
 
 
 To Ensure Home Or Hybrid Home/Office Associates' Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Associates Must Meet The Following Criteria
 
 
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 At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
 </li>
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 Satellite, cellular and microwave connection can be used only if approved by leadership
 </li>
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 Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
 </li>
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 Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
 </li>
 <li>
 Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
 
 
 </li>
 </ul>
 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
 
 
 
 Scheduled Weekly Hours
 
 
 
 40
 
 
 
 Pay Range
 
 
 
 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.
 
 
 $59,300 - $80,900 per year
 
 
 This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 
 
 
 Description Of Benefits
 
 
 
 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.
 
 
 
 About Us
 
 
 
 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.
 
 
 
 Equal Opportunity Employer
 
 
 
 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.
 
 
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Medical Coding Educator

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Business Analyst

Medical Coding Educator