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Business Analyst

Min Experience

2 years

Location

Detroit, MI

JobType

contract

About the job

Info This job is sourced from a job board

About the role

Job Description STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING. Strategic Staffing Solutions is currently looking for a Business Analyst for one of our largest clients in Detroit, MI. Job Title: Business Analyst Duration: 12 months W2 contract engagement, No c2c. Location: Detroit, MI Schedule: Hybrid, once per week. Top 3 Required Skills/Experience CMS Knowledge Data Reconciliation and file management Good Communication Medicare Advantage Enrollment Expertise: 1. Minimum 2-4 years of direct experience with Medicare Advantage Enrollment processes 2. Experience with CMS MAPD, MA and PDP standalone enrollment/disenrollment regulations, enrollment mechanisms, Late Enrollment Penalty (LEP), Low-Income Subsidy (LIS), and Plan Communication User Guide Data Reconciliation and File Management: 1. Experience with monthly/weekly membership reconciliation 2. Experience with monthly CMS membership reconciliation (MARx, TRR). 3. Ability to analyze discrepancies, manage large datasets, and track resolution through internal reporting tools. 4. Knowledge of CMS thresholds and compliance timelines for discrepancy resolution. 5. Understanding of required documentation and timelines for retroactive processing and case development. Operational Process Improvement: Ability to identify operational gaps, define root causes, and implement process improvements Regulatory Compliance and Audit Support: Experience supporting internal and CMS program audits and Compliance reporting. Technical and Reporting Skills: Intermediate experience of Microsoft Programs with Excel (Pivot tables), Word, Outlook, OneNote Communication and Knowledge Dissemination: Effective written and verbal communication skills.

Skills

cms
data reconciliation
file management
communication
medicare advantage
enrollment
excel
word
outlook
onenote