Healthcare Business Analyst/Data Analyst - CSpring

Are you ready to work with a team of like-minded leaders who both challenge and support you?  If so, this is a great time to join our winning team!  In 2021, CSpring was named a “Best Place to Work” by the Indiana Chamber and a “Top Workplace” by the Indy Star. 

Our Consulting team has an immediate opening for a full-time, Healthcare Business Analyst/Data Analyst . If the idea of working on challenging assignments with a team who is passionate about serving others and creating insights sounds exciting, this may just be the role you’ve been looking for!

Our consultants participate in meaningful projects that have an impact locally, nationally, and globally. As a CSpring Consultant, you will work with a team to develop state of the art solutions to business problems. You will interact with our clients and project teams, leverage your business and technical skills, discuss solutions with team members, and analyze client needs to develop important solutions. You will be a true partner to our clients, dedicated to making each client a raving fan.

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*This is a  position serving a client based in Springfield, IL.  You must be located or willing to relocate to Springfield, IL. 

Responsibilities:

• Analysis of current business processes and systems, and documenting requirements for new processes and systems
• Work with internal team and customer on business documentation and updates
• Attend meetings with user groups and document meeting minutes, action items, and decisions.
• Assist with user acceptance testing, including defect reporting and follow up. Help with development of test scenarios and acceptance criteria
• Help with developing presentations for internal team or for the customer. Solicit input from others and pull information together to create a professional presentation.
• Work with team to document updates needed for Operations Guide
• Assist with analysis of Medicaid enrollment, provider and claims data, and document requirements, use cases
• Assist with identifying and documenting data anomalies and collaborate with cross functional teams for effective resolution
• Share use cases to data analysts for profiling, review results and infer compliance to Medicaid / CMS processes and guidelines
• Ability to juggle multiple priorities and ensure availability to questions and clarifications from data analysts
• Positive attitude and willingness to jump in and help where needed

Required Qualifications:

• 5+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems
• 4+ years of experience in working with State Medicaid and CHIP agencies
• Basic understanding of CMS reporting requirements for Medicaid
• Basic understanding of FFS, Managed Care claim adjudication processes from enrollment to funding/finance
• Basic understanding of managed care encounters
• Knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation
• Knowledge of Affordable Care Act and eligibility
• Be a self-starter and able to thrive in an environment with little guidance
• Strong time management and organizational skills
• Excellent interpersonal, oral, and written communication skills
• Experience with facilitating meetings
• Proficient with MS Word, MS Excel
• Effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision
• Bachelor’s degree in related field

Preferred Qualifications:

• Experience working with PERM, T-MSIS, CMS Federal Reporting or similar projects
• Experience in HEDIS, CHIPRA or similar quality metrics
• Knowledge of Quality of Care program

About CSpring:

CSpring is a growing, Indianapolis-based technology consulting firm focused on data-driven solutions. Our team aligns business goals with technology to make information accessible, reliable, and engaging via custom and integrated software, data platforms, and advanced analytics.

If you are committed, collaborative, consultative, and caring – you will fit right in with our team. We pride ourselves in working together and understand that the whole is stronger than any one of us individually. When you join CSpring, you become part of our family - our Ohana. When you're a part of our Ohana, we promise to communicate well, provide opportunities for growth, and most importantly, celebrate our successes together. Being part of CSpring’s Ohana means you will be informed, recognized, rewarded, and respected. You will also have lots of opportunity to develop strong relationships with our team at quarterly company update events, monthly outings, community service opportunities, learning lunches, and more.

CSpring offers a comprehensive compensation, training, and benefits package, including Paid Time Off, Medical/Dental/Vision/Life/Disability insurance on day one, and 401(k) with company match.

This position is not open to candidates residing in the state of Colorado.