Medical Case & Utilization Management Business Process & Systems Analyst


Title: Medical Case & Utilization Management Business Process & Systems Analyst 
Duration: 0-2 months
Location: Miami, FL

Work closely medical management stakeholders to gain in-depth understanding of business strategy, processes, services, roadmap, and context in which the business operates - Provide analytic support in business areas critical to organization’s overall performance - Interface with high level internal and external contacts requiring considerable discretion, initiative, motivation, and follow through. - Provide and support the implementation of business solutions by building relationships and partnerships with key stakeholders; identify business needs; determine and execute necessary processes and practices; monitor progress and results; recognize and educate on improvement opportunities; and prioritize competing demands - Identify, collect and research specific requirements, gathers workflow data and basic system and reporting specifications for projects and engagements - Develop reliable and credible information with all who use and rely on the reporting produced by the position as well as preparing reports for appropriate level of management - Define business requirements and present analyses/reports in clear and useful format to other departments - Exercise initiative in exploring and discovering opportunities to improve program performance through data analysis - Complete business cases in support of projects; participate in and/or facilitate business modeling - Serve as critical liaison between business, technical, program and support teams

- 5+ years of relevant Healthcare Consulting experience or equivalent combination of education and work experience (i.e. undergraduate degree and 6-8 years relevant experience)
- 5+ years of healthcare insurance payer systems (i.e., claims, medical/clinical management, case management, utilization management, etc.) implementation, or equivalent consulting experience
- Knowledge of system development methodology, project management, system architecture and analytical/problem solving skills 

Bachelor’s Degree or equivalent training/experience

Thanks and Regards,
Swapnil Sawant
APN Software Services, Inc (
39899 Balentine Drive, Suite 385, Newark, CA 94560
Phone: 510-402-1080 / Fax 510-623-5055 
Email Id:


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