Karna, LLC

  • Business Analyst

    Job ID 2018-1994
    Job Locations
    US-MD-Greenbelt
    Category
    Management Consulting
    Type
    Full-Time/Regular
  • Overview

    This position is for a business analyst on the World Trade Center (WTC) Health Program. The analyst will be responsible for supporting the medical code change control process and developing medical audits.

    Responsibilities

    • Understands and applies business process design techniques
    • Participates in gathering business requirements
    • Defines, models and interprets data
    • Gains the confidence of the client and Karna staff and builds strong relationships
    • Participates in work groups and delivers formal presentations to the client and Karna staff
    • Develops and maintains process documentation
    • Works in coordination with the Karna Medical Advisors to develop medical audit reports
      • Runs MicroStrategy reports
      • Analyzes data in Excel
      • Develops charts and graphs from the data
      • Records the medical audit findings
      • Presents findings to the client
    • Develops business requirements for MicroStrategy reports and communicates them to Technical Operations staff
    • Updates and maintains the medical Codebook in a Microsoft Access database
      • Adds new diagnosis and procedure codes on a weekly basis
      • Runs quality assurance queries on a weekly basis, and resolves any issues
      • Creates and publishes the full Codebook in an Excel and PDF format on a monthly basis
      • Updates the Microsoft Access database to incorporate new client or internal team requirements
      • Maintains all process documentation
    • Supports the medical code change control process
      • Records code requests in a SharePoint database
      • Responds to code email requests
      • Provides information on codes received, pending and processed on a weekly basis for the Program Dashboard
      • Develops weekly Change Requests to add new diagnosis and procedure codes
      • Performs quality assurance checks on medical code change control spreadsheets as well as on Change Requests
      • Maintains program documentation
    • Supports the Provider Enrollment team
      • Enrolls medical providers
      • Reviews and resolves issues with medical claims pended for provider issues
    • Participates in a weekly internal staff meeting and a weekly client meeting
    • Performs ad hoc research and participates in ad hoc meetings on client and internal staff requests

    Qualifications

    • Bachelor’s degree
    • Zero to three years of work experience in business analysis and process modeling, preferably in clinical analytics in a healthcare program
    • Advanced knowledge of Microsoft Excel
    • Knowledge of Microsoft Access preferred
    • Knowledge of MicroStrategy preferred
    • Knowledge of Microsoft Visio preferred
    • Strong analytical and problem solving skills
    • Ability to work in a team and independently
    • Good verbal and written communication skills
    • Ability to obtain and maintain appropriate clearance

    PM18

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