Rate Analyst jobs in Pearl City, HI

BerryDunn is seeking a Payment Error Rate Measurement (PERM) Business Analyst (BA) to join our Medicaid Practice Group. This position will support client work for a State Health and Human Services (HHS) agency that has requested project management and support services to deliver support and implementation of continued business process redesign services, including Business Process Reengineering (BPR) strategy, audit support services, and project management support services.

You will be focused on implementing cost avoidance measures by supporting the agency with audits, in particular PERM audits. In addition, you will be responsible for assisting the PERM SME in the research, review, and analysis of various project-related activities and tasks.

Time Zone: You will be committed to working Hawaii Standard Time on most occasions.

• Provide frequent, clear, and consistent communication to the client, team members, vendors, and direct reports.
• Participation in staff and/or team meetings.
• Perform quality review of eligibility determinations and accuracy of Managed Care Organization (MCO) payments.
• Serve as a Subject Matter Expert (SME) and provide guidance during PERM cycle preparation activities.
• Provide SME support throughout the PERM cycle.
• Aid in MEQC Planning Document Support.
• Provide additional audit support, as directed by the agency.
• Performs assigned administrative tasks efficiently and effectively, asking questions when instructions are unclear.
• Initiate and maintain frequent collaboration with team members across workstreams and initiatives.

• Ability to conduct research and analysis related to Medicaid Eligibility Systems, policy, and/or regulatory changes, and their impacts on state audits.
• Strong experience with Microsoft Excel, Word, and PowerPoint.
• Prior experience with supporting a State with a PERM cycle.
• Prior experience on PERM audits or minimum Medicaid eligibility determinations.

Our people are what make BerryDunn special, and in return we strive to support our employees and help them thrive. Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being. Visit our website for a complete list of benefits and a look into our culture: Experience BerryDunn.

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