Reimbursement Business Analsyt

Organization
Ariosa Diagnostics
Job Location
5945 Optical Court
San Jose, CA 95138
Salary
DOE
Benefits

Standard benefits.

Job Description

Reimbursement Business Analyst

The business analyst will provide analytical support for contract reimbursement, as well developing data driven recommendations to management.  Primary responsibilities include:

  • Analyzing claims data to track performance and provide insights to support decision making
  • Working closely with our billing team to track and manage claims
  • Developing, creating and publishing reports on a regular basis
  • Working with management to address business issues
  • Forecasting
  • Ad-hoc requests

QUALIFICATIONS:

Minimum Education and Experience:

  • Three to five years reimbursement analysis, health data analysis, business or systems analysis experience
  • Bachelor’s degree in Computer Science, Business Administration, Finance, Health Administration, or related field; or an equivalent combination of education and experience
  • Medicare, Medicaid and third party insurance claims and knowledge of ICD-9 and CPT codes

 Preferred Education, Additional Qualifications and Experience:

  • Experience in third party reimbursement
  • Experience in the health insurance/managed care industry
  • Exposure to statistical modeling and financial analysis
  • Diagnostics experience a plus
Requirements

Required Knowledge, Skills, and/or Abilities:

  • Knowledge of reimbursement methodology and reimbursement policy
  • Knowledge of industry payment policy standards
  • Advanced analytical skills, with the ability to interpret and synthesize complex data sets
  • Knowledge of business process improvement techniques and strategies

High-level user of Excel and Access

About Our Organization

Ariosa Diagnostics, Inc., is a molecular diagnostics company committed to innovating together to improve patient care. The flagship product, the Harmony Prenatal Test, is a safe, highly accurate and affordable prenatal test for maternal and fetal health. Led by an experienced team, Ariosa is using its proprietary technology to perform a directed analysis of cell-free DNA in blood. The Harmony test equips pregnant women and their healthcare providers with reliable information to make decisions regarding their health, without creating unnecessary stress or anxiety.

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