Payment Policy Analyst

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    "requisitionDescription": "<p>Position Overview  <br>The Payment Policy Analyst will work with our subject matter experts and team members In Medicare/Medicaid reimbursement methodologies, laws and regulations under the mentorship and guidance of a Senior Policy Analyst/Policy Lead. They must be organized and possess good communication and writing skills. Attention to detail is a must. They must meet assigned deliverables prior to the end of sprint cycles. This person is also a true team player who is flexible to lend a hand on other projects as needed. This role presents an excellent opportunity to learn the basis of healthcare payment methodologies.          <br><br>Responsibilities   <br>• Read and analyze Medicare data and policy including final rulings, daily transmittals, bulletins, policy manual updates, physician fee schedule (data file).  <br>• Contact various government entities to clarify new and existing policy.  <br>• Interpret and deliver business requirements covering reimbursement updates and payment policy changes and enhancement features for translation into software design specifications.  <br>• Create detailed excel formula to explain and prove complex payment methodologies.  <br>• Coordinate with developers, QA, data, client service and other team members to ensure that business requirements are implemented accurately and timely. <br>• Develop test claims for Developers, UAT and QA. <br>• Develop and maintain proficiency in the Company’s products (software, data) and services, including commercial contracting features as related to the specific area(s) assigned.   <br>• Become familiar in assigned Provider Payment Systems like APC, DRG, RBRVS. <br> <br>Qualifications &amp; Skills<br>Required:<br>• Bachelor’s degree in a healthcare or comparable field. <br>• 1-3 years professional experience in healthcare, and familiarity with health care reimbursement systems and methodologies<br>• Prior Experience or degree in a healthcare related field.  <br>• Ability to effectively communicate and collaborate with diverse internal and external stakeholder groups and individuals.  <br>• Able to collect, research, and understand diverse information, and translate it into clear and concise written requirements.  <br>• Able to plan, prioritize, and balance the need for direction with self-motivated efforts.  <br>• Strong interpersonal skills<br>Preferred:<br>• Experience in an agile systems development life cycle (SDLC) environment. <br>• Facility in using MS Office (Word, Excel, PowerPoint, Visio, Access) software applications<br>• Facility in using various Web-based and other research sources and tools<br><br>Headquartered in Alexandria, VA, Burgess (burgessgroup.com) is a team of engineers, designers, policy analysts, data scientists, and business leaders who believe thoughtful technology can transform the flow of resources in the American healthcare system. We’re a small team solving a big problem in a system that affects millions of people every day. At Burgess, you’ll join forces with some of the brightest minds in technology, healthcare, and finance, directly influencing our day-to-day decisions and ultimately, the impact we have in the world. Your Contributions Truly Matter. We’re a growing company, so you’ll be given plenty of creative freedom and the opportunity to thrive—everything you do will count. We look forward to hearing from you.&nbsp;&nbsp;</p>\n",
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