Senior Analyst, Business; Medicaid/Medicare Appeals & Grievances - REMOTE
Madison, Dane County, Wisconsin, 53774, USA
Listed on 2026-01-25
-
Healthcare
-
Business
JOB DESCRIPTION Job Summary
Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable.
JOB DUTIESDevelops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements.
Monitors regulatory sources to ensure all updates are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings.
Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations. Interpret
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).