About the Role:nnWe are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate will have a strong understanding of healthcare reimbursement systems, RCM (Revenue Cycle Management) software and systems, and be proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to express this domain knowledge by creating requirements, test cases and use cases.nnAs a key member of the Product Management team, you will manage functional requirements and use-cases for enhancing our content, claims calculators and other software solutions. You will participate in all stages of functional development: designing solutions, implementation, testing and documentation; as well as contribute to software maintenance and final acceptance testing.nnThe Business Analyst works closely with a cross-functional team of application designers, developers, quality assurance, product managers, and customer unit stakeholders to document requirements and plan enhancements based on existing knowledge and research. The candidate participates in all agile ceremonies.nnThe candidate will be encouraged to document and share knowledge and experience across the team, contribute to onboarding new team members and support the broader team in ensuring we deliver for our customers.nnAdditional Information: Responsibilities:nnResearch, analyze and interpret CMS rules and claims data to identify trends, issues, and changes. This includes researching and understanding provisional and final rules as published by CMS and modifying requirements for software solutions based on changes.nnConduct data analysis to ensure our systems provide accurate and timely claim submission analysis for our clients.nnParticipate as part of a cross-functional team in developing and maintaining reports and dashboards to monitor claims performance and compliance that provide actionable insights for our customers.nnProvide training and support to team members on OPPS and IPPS claims processes.nnStay updated on changes in healthcare regulations and reimbursement policies.nnCollaborate with cross-functional teams in agile ceremonies and story grooming.nnQualifications:nn3+ years as a Medicare/Medicaid Compliance Analyst - Revenue Cycle?nn1+ years of EHR or homegrown EMR implementation experience?nn3+ years of claim submission experience Inpatient preferrable; Outpatient required?nn3+ years of experience writing functional requirements and creating use cases?.nn3+ years Business Analyst experience?.nnStrong analytical and problem-solving skills.nnExcellent communication and interpersonal skills.nnAbility to work independently and as part of a team.nnProficiency in data analysis tools (e.g., SQL, Excel, Tableau).nnRecent experience with healthcare claims software (e.g., Epic, Cerner, or equivalent).nnPreferred SkillsnnPreference given to those with experience using CMS FFY and April updates to craft requirements and test/use cases?.nnPreferred recent progressive RCM experience at a hospital or clearinghouse?.nnTravel - Less than 20%nn#LI-HybridnnEQUAL EMPLOYMENT OPPORTUNITY Wolters Kluwer U. S. Corporation and all of its subsidiaries, divisions and customer/business units is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.