Independent Living Systems, LLC · 13 hours ago
Business Analyst Provider Data Management
Miami, FL, US
Full-time
Onsite
Mid Level
3+ years expIndependent Living Systems (ILS) is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The Business Analyst for Provider Data Management plays a critical role in ensuring the accuracy, integrity, and completeness of provider data, collaborating with cross-functional teams to enhance operational efficiency and regulatory compliance.
Health Care
Responsibilities
Analyze and document current provider data management processes and identify areas for improvement
Collaborate with stakeholders across departments to gather and validate business requirements related to provider data
Develop and maintain detailed functional specifications and process documentation
Support data quality initiatives by identifying discrepancies, coordinating data cleansing efforts, and monitoring data accuracy
Work closely with IT and data teams to translate business requirements into technical solutions and ensure successful implementation
Facilitate communication between business users and technical teams to resolve issues and optimize data workflows
Assist in the development and delivery of training materials and user guides related to provider data management systems
Generate and analyze reports to track data quality metrics and support compliance with regulatory standards
Qualification
Required
Associate's degree in Business Administration, Information Systems, Healthcare Administration, or a related field
3+ years of experience in business analysis, preferably within healthcare or provider data management
Familiarity and understanding of provider contracts
Proficient knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies
Preferred
Bachelor's degree in Business Administration, Information Systems, Healthcare Administration, or a related field
Experience with healthcare provider data systems such as CAQH, NPPES, or similar platforms
Familiarity with healthcare regulations and compliance requirements related to provider data
Knowledge of SQL and data visualization tools like Tableau or Power BI
Certification in Business Analysis (e.g., CBAP, CCBA) or related credentials
Experience working in Agile or Scrum project environments
Company
Independent Living Systems, LLC
Independent Living Systems, LLC, offers a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid and Dual-Eligible Market.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2012-01-04Series Unknown
Leadership Team
Hugh Chang Alloy
CFO
David Gutwald
Sr. Vice President, Payer Services
Recent News
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2025-07-04
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2025-04-30
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2025-04-23
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