Healthcare Business Analyst

Job Description:

Position: Senior BA with extensive background in any of the following Healthcare capabilities:

• OMNI
• PDM - PDM in Medicaid refers to Periodic Data Matching. It’s a process used by Medicaid and the Children’s Health Insurance Program (CHIP) to ensure that individuals who are enrolled in Marketplace coverage with financial assistance, such as advance payments of the premium tax credit (APTC) or cost-sharing reductions (CSRs), are not simultaneously enrolled in Medicaid or CHIP12.
• Contact Center
• Managed Care (MCO) - MCOs are a type of health care delivery system that is organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and MCOs