Business Analyst - Health Plan
Apply NowCompany: TotalMed
Location: Minneapolis, MN 55407
Description:
Business Analyst-Health Plan
Job ID #1806849
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About this Role
Job details
$45.31 / hour
Minneapolis, Minnesota
Profession: Business Analyst
Facility Type: ???
Specialty: Health Plan
Division: MedFi
Start Date: 07/01/2025
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Responsibilities
Assist with development and validation of project member demographic files for prospective medical record retrieval and abstraction project.
Over-read of vendor-abstracted medical records for HEDIS measures.
Research claims systems for alternate chase opportunities and make outbound phone calls to provider/practitioner offices.
Liaise with priority provider groups (i.e., provider incentive or value-based care [VBC] program participants) regarding chart retrieval as needed
Required Qualifications
The candidate must be technically savvy and must be able to work without distraction.
This is a high production environment, and candidates must adhere to measured productivity requirements.
HEDIS experience with the following measures, overread experience preferred: BCS, CBP, CCS, CIS, EED, KED, GSD, IMA, PPC and WCC
Three plus years HEDIS / medical record review / MRRV experience
Job ID #1806849
| Share
About this Role
Job details
$45.31 / hour
Minneapolis, Minnesota
Profession: Business Analyst
Facility Type: ???
Specialty: Health Plan
Division: MedFi
Start Date: 07/01/2025
Apply
Responsibilities
Assist with development and validation of project member demographic files for prospective medical record retrieval and abstraction project.
Over-read of vendor-abstracted medical records for HEDIS measures.
Research claims systems for alternate chase opportunities and make outbound phone calls to provider/practitioner offices.
Liaise with priority provider groups (i.e., provider incentive or value-based care [VBC] program participants) regarding chart retrieval as needed
Required Qualifications
The candidate must be technically savvy and must be able to work without distraction.
This is a high production environment, and candidates must adhere to measured productivity requirements.
HEDIS experience with the following measures, overread experience preferred: BCS, CBP, CCS, CIS, EED, KED, GSD, IMA, PPC and WCC
Three plus years HEDIS / medical record review / MRRV experience