Overview: BerryDunn is seeking a Business Analyst to support Hawaiʻi Med-QUEST’s Fraud, Waste, and Abuse (FWA), Program Integrity, Audit, Third Party Liability (TPL), payment integrity, and claims review initiatives. This role will support discovery, policy and operations analysis, workflow development, and practical improvements across policy, operations, systems, and stakeholder processes. The Business Analyst will collaborate with program staff, project leadership, vendors, subject matter experts, workgroups, and stakeholders to analyze data, document findings, support investigative and audit activities, identify process and payment integrity improvement opportunities, and translate findings into clear recommendations and implementation supports. Travel may be required up to 25% of the year. Responsibilities: Conduct discovery, fact-finding, and current-state analysis to understand processes, pain points, stakeholder needs, handoffs, dependencies, and improvement opportunities. Gather, analyze, and document requirements for initiatives, FWA implementation, Medicaid policy and payment policy, operations, system impacts, and stakeholder-facing workflows. Analyze where policy, operations, systems, and stakeholder needs intersect, identify alignment gaps, process issues, root causes, and opportunities for redesign. Develop process documentation, workflow maps, business rules, standard operating procedures (SOPs), readiness materials, and other implementation supports. Develop recommendations for process redesign, operational improvement, policy alignment, system readiness, a
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Overview: BerryDunn is seeking a Business Analyst to support Hawaiʻi Med-QUEST’s Fraud, Waste, and Abuse (FWA), Program Integrity, Audit, Third Party Liability (TPL), payment integrity, and claims review initiatives. This role will support discovery, policy and operations analysis, workflow development, and practical improvements across policy, operations, systems, and stakeholder processes. The Business Analyst will collaborate with program staff, project leadership, vendors, subject matter experts, workgroups, and stakeholders to analyze data, document findings, support investigative and audit activities, identify process and payment integrity improvement opportunities, and translate findings into clear recommendations and implementation supports. Travel may be required up to 25% of the year. Responsibilities: Conduct discovery, fact-finding, and current-state analysis to understand processes, pain points, stakeholder needs, handoffs, dependencies, and improvement opportunities. Gather, analyze, and document requirements for initiatives, FWA implementation, Medicaid policy and payment policy, operations, system impacts, and stakeholder-facing workflows. Analyze where policy, operations, systems, and stakeholder needs intersect, identify alignment gaps, process issues, root causes, and opportunities for redesign. Develop process documentation, workflow maps, business rules, standard operating procedures (SOPs), readiness materials, and other implementation supports. Develop recommendations for process redesign, operational improvement, policy alignment, system readiness, a
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Based on: Business Analyst
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4 active roles from this employer in the JobMatcher catalog.
Software Engineer L4/L5
Plain Concepts
People Operations Assistant
e-Careers
Senior Platform DevOps Engineer
Sedona Digital
Product Manager
Airbnb
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Noda
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