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Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
API CPT Quality Assurance Agile IT Environment Technical Writing Written And Verbal
 
Requirement id 132652
Job title Analyst
Job location in Denver, CO
Skills required API, CPT, Data Security, Quality Assurance Agile IT Environment T
Open Date 21-Mar-2022
Close Date
Job type Contract
Duration 15 Months
Compensation DOE
Status requirement ---
Job interview type ---
Apply
   Email Recruiter: coolsoft
Job Description Analyst: API, CPT, Data Security, Quality Assurance Agile IT Environment T

start date:4/11/2022
End date:06/30/2023

submission deadline:04/01/2022

client info : CO CDHS


Description:

The Business Analyst will work with internal and external stakeholders with an end goal to advocate for the needs of people that are impacted by BHA programs as they relate to data systems. This may include BHA program staff, technical staff, behavioral health providers, behavioral health managed care organizations, end users, behavioral health clients, the state legislature, Governors office and citizens of Colorado. This person is a behavioral health generalist in the areas of information technology as it relates to finance, contracts, and a specialist in rate setting for claims, service coding and billing.

This role serves as the liaison between the BHA Finance Team, the Data & Evaluation Team and the MMIS team at the Department of Health Care Policy & Financing to elicit business requirements for BHA claims and encounter processing.

They will have experience applying financial and payment method principles to assist in the development of technology that ultimately results in a positive impact for our clients. They understand that in government, technology is secondary - it is a tool that supports a larger service or program.

Primary Duties Include:

Product Strategy and Development

Develop a deep understanding of the organization, its strategy, constraints, and goals in order to facilitate discussions and generate effective solutions to the problems and projects at hand.

Must have, or quickly develop, with little guidance or support, a detailed understanding of all current BHA data systems and those with which the BHA interacts.

Encounter Claims System (Encounters)
Colorado Client Assessment Record (CCAR)
Drug and Alcohol Coordinated Data System (DACODS)
HCPF Medicaid Management Information system (MMIS)
Behavioral Health Provider EHR vendors – Netsmart, Streamline, Qualifacts, Cerner, and others.
Colorado Health Information Exchanges – CORHIO and QHN.
And behavioral health provider networks:
Colorado Community Managed Care Network (CCMCN)
Colorado Behavioral Healthcare Council (CBHC)
Managed Service Organizations (MSO)
Administrative Service Organizations (ASO)
Regional Accountability Entities (RAE)
Colorado Crisis Services

Business Analyst/Requirements Analyst

Participate as a key member of the Product Delivery Team.

Subject Matter Expert on both Medicaid and non-Medicaid behavioral health (mental health and substance use) data related to:

837 file formats (specifically 5010P)
API, batch, XML, 837 data submission processes.
Uniform Coding Standards (CPT/HCPCS/Revenue Codes)
American Society of Addiction Medicine (ASAM) dimension determination
Claims/Encounter processing
Rate setting
Contract compliance
Mental health and substance use data collection and submission standards, as well as best practices
Payment model integration
PHI, HIPAA, 42 CFR Part II data security, privacy regulations and consent management
Gives guidance to BHA leadership and stakeholders within the behavioral health community, as well as to other state agencies as it relates to areas of expertise in data, service coding, financial and compliance issues.

Expertise at estimating business analysis work efforts and deadlines on complex IT projects.

Ability to creatively and collaboratively work with disparate groups each with their own, and potentially differing, int
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 132652 while calling.
 
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(Analyst: API, CPT, Data Security, Quality Assurance Agile IT Environment T in Denver, CO)
     
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