Business Data Analyst jobs in Brentwood, NY

I
Business Analyst, Provider Data Management
  • Independent Living Systems
  • Islandia, NY FULL_TIME
  •  
     

    ABOUT US

    Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources.

    Position Summary

    The Business Analyst Provider Data Management is responsible for taking a leading role in the coordination and loading of all physicians, hospital, and ancillary contracts for all Medicaid and Medicare clients.

    Essential Functions

    1. Responsible for the data integrity of all provider set-ups and reimbursement configurations 
    2. Responsible for all practitioner, hospital and ancillary contracts loaded into the claims system.
    3. Implement provider contracts and/or contract amendments and conduct claims testing.
    4. Program reimbursement setups applicable to the contract specifications.  This includes fee for service pricing, capitation, pricing methods appropriate for office based, inpatient, outpatient, ambulatory, and emergency room settings.
    5. Responsible for timely and accurate research of resources that update critical information on a scheduled basis.
    6. Assist with ad hoc projects as necessary to meet client needs.
    7. Create and document workflows and policies and procedures (P&Ps) as necessary.
    8. Participate in client implementation and conversion projects.
    9. Represent the department by actively participating in internal meetings, external (client) meetings, and work sessions.
    10. Assist in creating and maintaining all pricing setups in the claims system and ensure all updates are processed timely and accurately.
    11. Serve as mentor and support to the staff in interpreting and implementing complex contract configurations into the claims system.
    12. Troubleshoot provider set-ups as necessary, in support of the claim processing operation.
    13. Conduct other duties as requested by department management to assure efficient company operations.
    14. Client contact required.

     

    Education and Experience

    • Associate degree minimum or equivalent experience.
    • Minimum four (4) years industry experience required.
    • Experience in processing UB-04 / CMS 1500 claims required.
    • Familiarity and understanding of provider contracts.
    • Knowledge of company’s proprietary claim systems preferred. 
    • Must possess good understanding of claim adjudication process including ICD, CPT, HCPCS
    • Proficient knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (i.e. Per Diem, PPS, FFS, APG, Capitation, etc.) required.
    • Excellent verbal and written communication skills required.
    • Computer proficiency in Microsoft applications (i.e. Excel and Access.) required.
    • Ability to travel (infrequent)     


    Required Skills       

    • Ethical Conduct. 
    • Strategic-Critical Thinking. 
    • Leadership.
    • Decision Making. 
    • Financial Management. 
    • Communications Proficiency. 
    • Presentation Skills.     

     

    EEO STATEMENT 

    In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


     #IND-ILS

     

     

  • 7 Days Ago

B
Data entry
  • Bold Business
  • Medford, NY FULL_TIME
  • Enter information found on online databases into the company's databases; Conduct internal, or online, research into verifications; Purchase primary source verifications from third parties; Highlight ...
  • 15 Days Ago

B
Senior Financial Reporting Analyst
  • BlackHawk Data
  • Islip, NY OTHER
  • Who We Are: BlackHawk Data is a New York-based managed service provider that implements expert IT consulting and outcome-winning project solutions. "Network and System Integrator experts in designing ...
  • 21 Days Ago

D
Business Development Manager - North America
  • Data Device Corporation
  • Bohemia, NY FULL_TIME
  • Data Device Corporation (DDC) is the world leader in the design and manufacture of high-reliability data bus products for aerospace and defense vehicles, commercial aerospace, and space applications. ...
  • 15 Days Ago

U
Bids and Proposal Analyst
  • Ultra Global Business Services
  • Yaphank, NY FULL_TIME
  • Unleash the Power of Multi-Mission Excellence: Safeguarding the Seas for the World's Navies.Step into a world where cutting-edge technology meets unparalleled expertise. Ultra Maritime pioneers delive...
  • 13 Days Ago

S
Business Analyst
  • SB Clinical Practice Management
  • STONY BROOK, NY FULL_TIME
  • Overview Business Analyst - Stony Brook Children's Service, UFPC Location: Stony Brook, NY Schedule: Full Time Days/Hours: Monday - Friday - 8:30am to 5pm (Variable hours as needed) Salary Range: $59,...
  • 12 Days Ago

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0 Business Data Analyst jobs found in Brentwood, NY area

R
Data Business Analyst - Derivative Reconciliation
  • Rockwood Search
  • New York, NY
  • Top global Fund seeks a strong middle office operations candidate that is looking to get out of day to day operations an...
  • 3/28/2024 12:00:00 AM

R
Data Business Analyst - Derivative Reconciliation
  • Rockwood Search Associates
  • New York, NY
  • Job Description Job Description Top global Fund seeks a strong middle office operations candidate that is looking to get...
  • 3/27/2024 12:00:00 AM

B
Reporting & Data Analyst
  • Beauty by Imagination (BBI)
  • Commack, NY
  • Beauty by Imagination Reporting & Data Analyst Hybrid **Must be able to come into our Commack, NY office** Position Over...
  • 3/26/2024 12:00:00 AM

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Data Analyst, Hemophilia Pharmacy Services
  • New York Blood Center Inc
  • Westbury, NY
  • Overview: At New York Blood Center, one of the most comprehensive blood centers in the world, our focus is on cultivatin...
  • 3/26/2024 12:00:00 AM

M
Business Data Analyst
  • Motion Recruitment
  • New York, NY
  • Required Skills & Experience 5+ years of Business Analysis experience within an investment banking or financial services...
  • 3/25/2024 12:00:00 AM

C
Aviation Publications Analyst
  • CAMP Systems International, Inc.
  • Ronkonkoma, NY
  • Overview CAMP Systems is the leading provider of aircraft compliance and health management services to the global busine...
  • 3/25/2024 12:00:00 AM

C
Cyber Assessment Maturity Program (CAMP), Senior Manager
  • Capital One
  • Ronkonkoma, NY
  • Center 3 (19075), United States of America, McLean, Virginia Cyber Assessment Maturity Program (CAMP), Senior Manager Th...
  • 3/25/2024 12:00:00 AM

J
Application Support Specialist
  • Jovia Financial
  • Westbury, NY
  • ** Application Support Specialist** **Job Category****:** Back Office **Requisition Number****:** APPLI002573 Showing 1 ...
  • 3/24/2024 12:00:00 AM

Brentwood is a hamlet in the Town of Islip in Suffolk County, New York, United States. As of the 2010 Census, the population of Brentwood was 60,664. Brentwood is located at 40°46′54″N 73°14′39″W / 40.78167°N 73.24417°W / 40.78167; -73.24417 (40.781805, −73.244060). According to the United States Census Bureau, the CDP has a total area of 10.1 square miles (26.1 km²).[citation needed]...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Business Data Analyst jobs
$86,501 to $110,461
Brentwood, New York area prices
were up 1.6% from a year ago

Business Data Analyst in Charlotte, NC
Review and facilitate the resolution of data issues stemming from missing files, failed jobs, bad data, etc.
January 04, 2023
Act as a back-up to the Support & Training Analyst, by working support tickets and assisting in training documentation and demos.
May 07, 2023
Business Data Analyst in Dearborn, MI
Participate in UAT, help to identify and report bugs, user-interface problems, documentation, or other potential problems (from both the Technical Support and the Customer/End User perspective).
April 25, 2023
Business Data Analyst in Hebron, KY
Obtain training and continuing education as required to fulfill job responsibilities.
March 21, 2023