Job Title: Business Analyst

Location: Glastonbury, CT – Remote, but onsite for frequent meetings

Duration: 4-month contract

Project Description

Our client needs to ensure that Medicaid eligible services are properly documented in accordance with the Consolidated Appropriations Act. The CAA implementation team is seeking assistance from a Business Analyst who has a strong familiarity with Medicaid billing documentation standards to help ensure client case note documentation meets all federal and state Medicaid requirements while ensuring audit compliance for billing. This position will be instrumental in creating documentation standards, recommending policy and data system modifications, and assisting with training curriculum development.

Scope of Services

Work with interagency representatives to understand how Medicaid waivers will impact business
Learn about the employees who will be delivering reimbursable services and how they currently record electronic case notes in their case management system
Support agencies in understanding Medicaid’s documentation requirements and how to ensure that medical necessity is established
Create business requirements that define the required data elements needed in agency electronic systems such as date, time, location, supervising provider, service type, and signatures
Assist with creating standardized, Medicaid compliant note templates
Help agencies craft policy that reinforce proper case note compliance.
Collaborate with training staff and recommend training curriculum topics that will prepare line staff to differentiate between billable and non-billable activities and create Medicaid compliant case notes
May participate in training events and/or assist with creating training scenarios

Minimum Qualifications

The minimum skills and experience required for a candidate to be considered for this position include:

A minimum of 3 years’ experience as a business analyst or in a similar field
In-depth knowledge of Medicaid billing practices with particular emphasis on required documentation to meet audit standards
Ability to assess current data systems and document change recommendations
Strong oral and written communication skills
Professionalism and flexibility in working relationships
Ability to set individual priorities, complete work with limited direction, and work in a team environment.
Experience in training curriculum development a plus

Timetable

While the selected candidate will be allowed to work remotely while performing tasks independently, they will be required to attend frequent in-person meetings in Glastonbury, CT as well as other locations across the state of Connecticut.

Tri-Com Consulting Group

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