Payment Error Rate Measurement (PERM) Business Analyst (BA)

BerryDunn

  • Hawaii
  • $85,000-115,000 per year
  • Permanent
  • Full-time
  • 8 hours ago
Overview: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 Redesign (BPR) strategy, audit support services, and project management support services.The PERM BA will be focused on implementing cost avoidance measures through supporting the agency with audits, in particular, PERM audits, with an emphasis on Medical Record reviews (MR). In addition, the PERM BA will be responsible for assisting the PERM SME in the research, review, and analysis of various project-related activities and tasks. Your initial focus will be on supporting our Hawai'i client. You will report to and partner with senior management in our Medicaid team, both for client work and career development. With a growth mindset, you will drive your development with the support of a learning and development culture.This position offers flexibility in work location, with the option to work fully onsite or in a hybrid capacity. Given that you may be collaborating with teams across multiple time zones, you will need to manage your schedule effectively to ensure availability for meetings and meet deadlines, while having the freedom to work independently when necessary.Travel Expectations: Travel to client sites can range up to 50%. You Will:
  • 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, including Corrective Action Plan (CAP) development.
  • Analyze medical records and claims to determine the accuracy and relevance of Medicaid payments.
  • Provide additional audit support, as directed by the agency.
  • Performs assigned administrative tasks efficiently and effectively, asking questions when instructions are unclear.
You Have:
  • Ability to conduct research and analysis related to Medicaid Claims Systems, Medicaid reporting 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, reviewing medical records, and claims.
  • Preferred prior experience on PERM audits or a minimum of internal audits related to Medicaid billing.
Compensation Details:The base salary range targeted for this role is $85,000 - $115,000. This salary range represents BerryDunn’s good faith and reasonable estimate of the range of possible compensation at the time of posting. If an applicant possesses experience, education, or other qualifications more than the minimum requirements for this posting, that applicant is encouraged to apply, and a final salary range may then be based on those additional qualifications; compensation decisions are dependent on the facts and circumstances of each case. The salary of the finalist selected for this role will be based on a variety of factors, including but not limited to, years of experience, depth of experience, seniority, merit, education, training, amount of travel, and other relevant business considerations. BerryDunn Benefits & Culture: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: .We will ensure that individuals are provided reasonable accommodation to participate in the job application or interview process or perform essential job functions. Please contact to request an accommodation.We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.About BerryDunnBerryDunn is the brand name under which Berry, Dunn, McNeil & Parker, LLC and BDMP Assurance, LLP, independently owned entities, provide services. Since 1974, BerryDunn has helped businesses, nonprofits, and government agencies throughout the US and its territories solve their greatest challenges. The firm’s tax, advisory, and consulting services are provided by Berry, Dunn, McNeil & Parker, LLC, and its attest services are provided by BDMP Assurance, LLP, a licensed CPA firm.BerryDunn is a client-centered, people-first professional services firm with a mission to empower the meaningful growth of our people, clients, and communities. Led by CEO Sarah Belliveau, the firm has been recognized for its efforts in creating a diverse and inclusive workplace culture, and for its focus on learning, development, and well-being. Learn more at .

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