Senior Business Analyst - Medical Billing & Enrollment Credentialing

Job Summary
Responsible for the implementation of Medical Services Billing (MSB) and Pharmacist Enrollment and Credentialing (PEC) for the Walgreens Medical Services Platform (MSP). Responsible for MSP/PEC development for business units that require MSB/PEC solutions to enable the expansion of health testing and pharmacist clinical services. Required to work collaboratively with cross function teams and pharmacy locations to mitigate medical/service/product billing program loss.

Job Responsibilities

• Responsible for collecting, summarizing data and providing analysis that will assist Pharmacy & Retail Operations management in both long- and short-range strategic planning, and the development and implementation of programs
• .Maintains a comprehensive understanding of business processes and practices pertaining to allaspects of Pharmacy & Retail Operations within the Retail Hub.
• Provides more complex analysis of corresponding data to build business case for system andoperational procedure changes, enhancements, development of functional specifications or interface opportunities with costs and or return on investment summarized.
• Serves as operation point of contact for various projects to drive project execution. Communicatesrelevant project information to stakeholders, both corporately and in the field.
• Collects, analyzes, makes specific recommendations, and presents information pertaining to proposed programs to meet the business and strategic goals of Pharmacy & Retail Operations and the Company. Manages complex ad-hoc projects and analyses, as needed.
• Plans, designs and deploys appropriate reports and tools.
• Collaborates across Pharmacy & Retail Operations, IT, legal and regulatory, process improvementteams, and others, to develop operational solutions.
• Coaches, mentors, guides, and provides oversight to less senior Business Analysts

• Bachelor’s degree and at least 1 year of experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions; OR, High School Diploma/GED and 4 years of experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.
• At least 1 year of experience querying databases (for example: SQL, Golden, Business Objects, EDW, SAS and/or SQL Server).
• Experience in identifying operational issues and recommending and implementing strategies to resolve issues and problems.
• Experience communicating the impact of business analysis results to business leaders.
• Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns).
• Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling).
• Intermediate level skill in Microsoft PowerPoint (for example: applying a theme, formatting character spacing, inserting a picture, changing slide layout and theme colors, adding transitions, customizing slide numbers, changing chart style and/or formatting font).

• Bachelor’s degree

• Medical billing/coding certifications (CCA, CBCS, CCS, CPC, COC)

• Experience in Medical billing operations functions within a healthcare organization.

• Expertise in Medical Billing/Enrollment Credentialing for Health Systems and/or Payers.

• Experience providing customer service to internal and external customers, including meeting quality standards and evaluation of customer satisfaction.

• Intermediate level skill in Microsoft Access (for example: designing and creating simple queries, modifying data types, adding dates, working with required fields and/or creating labels).

• Experience using Intercom Plus.