Performance Management Business Analyst - Roseville, CA

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Performance Management Business Analyst - Roseville, CA at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a communitys most vulnerable.

Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges.

Gainwell Technologies Performance Management Business Analyst is responsible for supporting activities to support and monitor providers and members to detect and reduce potential fraud, abuse and quality of care issues within the Medi-Cal Dental Program as a part of Compliance Management.

This role serves to help maintain the integrity of the Medi-Cal Dental Program. You will play a vital role in identifying areas for improvement and assisting in implementing strategies to enhance Program performance.

Here are the details on this position.

Your role in our mission

• Assist in tracking, managing and processing compliance incidents within the Medi-Cal Dental Program
• Query reports and analyze data surrounding the delivery, billing, and utilization of dental services to detect unusual practices, billing anomalies and potential abuse by Medi-Cal dental providers and / or members
• Facilitate internal and external department meetings, including establishing calendar invitations and formulating formal agendas
• Record, capture, publish and disseminate detailed meeting minutes for Performance Management
• Assist in documentation of activities surrounding providers and remediation activities.

What we're looking for

• A minimum of three (3) years of experience in a relevant Business Analyst position within healthcare. Medi-Cal Dental experience preferred
• Proficiency in creating, querying, and analyzing reports
• Demonstrated proficiency in Excel spreadsheets
• Demonstrated excellent verbal and written communication skills with exceptional attention to detail and organization skills
• Knowledge of Medi-Cal Dental criteria and program requirements strongly preferred

What you should expect in this role

• Position will be either hybrid or on-site (Roseville, CA), to be determined
• Candidate must reside within commuting distance to Roseville, CA.
• Video cameras must be used during all interviews
• The deadline to submit applications for this posting is July 16, 2024

LI-HC1

LI-Med-Cal Dental

The pay range for this position is $59,500.00 - $85,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development.

All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.