Staff Analyst

#LI-MM3 #LI-Hybrid

Essential Functions and Primary Duties

• Work with a multi-disciplinary team of other analysts and clinical staff in performing analysis of health-related and financial information, verifying integrity of data, performing statistical calculations to determine compliance with Federal regulations, state Medicaid policies, and other applicable laws
• Conduct research to determine compliance with relevant Medicaid or other government program regulations
• Assist with performing various analyses relating to Medicaid engagements
• Prepare written documents supporting professional decisions and perform other types of related tasks involving health care provider quality incentive programs
• Review applicable federal and state Medicaid policies and regulations relating to health care reimbursement and quality incentive programs
• Demonstrate excellence in communication skills, data gathering, analysis, reporting, and process improvement
• Maintain security and confidentiality of all protected health information when analyzing material
• Maintain thorough electronic documentation
• Additional responsibilities as assigned

Preferred Qualifications

• Master's degree preferred
• CPA, CPA candidate, or CFE
• Internship or equivalent working experience in accounting or related field
• Experience with health care auditing strongly preferred
• Ability to review statutory/regulatory or other policy language and apply requirements
• Strong analytical and problem-solving skills
• Strong verbal and written communication skills
• Well organized with a high degree of accuracy and attention to detail
• Effectively multi-task with planning and efficiency
• Must be able to manage multiple deadlines and prioritize assignments
• Proficient use of applicable software programs and data querying tools, including Microsoft Office suite (i.e. Excel, Access, Word, etc.)

Minimum Qualifications

• Bachelor's degree in accounting, finance, health policy, health care administration, health information, criminal justice or related field