Sunshine Enterprise USA

Business Analyst

• Gather business and program requirements for reporting and monitoring activities
• Conduct data analysis using trend analysis, outlier identification, and validation techniques
• Analyze grievance, appeals, service authorization, disputes, and contract monitoring data
• Develop and maintain policies and procedures related to data governance and reporting
• Create reports and dashboards for Bureau and Agency leadership
• Perform data quality verification and communicate findings clearly to stakeholders
• Collaborate with internal teams including IT, Managed Care, and external stakeholders
• Support process improvement initiatives and strategic projects
• Prepare and present analytical reports and recommendations
• Participate in professional development and training activities

Business Analyst, Statistical and Mathematical - Contract

• Support Medicaid policy and coding analysis
• Serve as SME for medical coding compliance and updates
• Perform analysis of medical coding changes
• Prepare and distribute coding change listings
• Collaborate with policy owners and stakeholders
• Participate in MMIS modernization meetings
• Maintain business rules and coding documentation
• Facilitate meetings with stakeholders

Business Analyst, Clinical Analyst, Coding Specialist

Project Manager

• Provide technical development and functional analysis support for SAP Finance
• Design, develop, test, and maintain SAP applications
• Perform ABAP development for SAP FI, Treasury, and related modules
• Analyze business requirements and translate them into technical specifications
• Create and execute unit tests and support user acceptance testing

Business Analyst, Statistical and Mathematical - Contract

Business Analyst, Clinical Analyst, Coding Specialist

SAP Project Management Consultant, SAP ECC 6.0 Finance – Contract