A Managed Care Business Analyst is a professional employed by a Healthcare and pharmaceutical organization, who keep track of the reforms, policies and data requirement needs of the stakeholders within the organization and keep track on changes applied to meet the Risk, Analytics, and Reporting needs across various business units.

A Managed Care Business Analyst is a professional employed by a Healthcare and pharmaceutical organization, who keep track of the reforms, policies and data requirement needs of the stakeholders within the organization and keep track on changes applied to meet the Risk, Analytics, and Reporting needs across various business units. The person will be responsible for requirement gathering, documentation, project management and regulatory changes as a key person towards various projects

Our Programs are delivered in 3 Different ways for convenience of student:

• Self-Paced Individual Program (SIP)
– Skill and Job Oriented Certificate programs, delivered as Self-Paced Online with project solutions
• Self-Paced Blended Program (SBP)
– Skill and Job Oriented Certificate programs, delivered as Self-Paced Online with project solutions. Support thru Email and Phone for queries. The student participates in 7 days Post Training Assistance program for Resume preperation
• Self-Paced Package Program (SPP)
– Skill and Job Oriented Certificate programs, delivered as Self-Paced Online with project solutions. Support thru Email and Phone for queries. Student participates in 15 days Post Training Assistance program for Resume preparation, Interview Narratives, and Mock session. Obtains Job referral and leads for application with clients and vendors

  • Admission Requirements:

    Recommended: An Associate or Bachelor’s degree in healthcare management, Pharmaceutical sciences, Pharmacy, Public health, Computer Science, Information Technology, Bioinformatics, Data Science, Machine Learning (ML), Artificial Intelligence (AI).

  • Institutional Scholarship / Promotion:

    Institutional Scholarship / Promotion is available for selected on tuition. We review your educational background, certifications, and prior experiences (if applicable), to evaluate your eligibility. The qualified student will be provided with the promo code for scholarship on Tuition.
    Please Email your resume to Human Resources qpdc@qtech-solutions.us to check on your eligibility. We will contact you. Q-tech’s objective is to provide you the right career pathway and advancement required to meet your career goals.

  • Learning Outcomes:
    The Benefit Student Gains

    The Benefit Student Gains

    • Upgrading the Knowledge required.
    • Better Resume Placement for promising jobs.
    • Low Investment, high learnings
    • Learn from Anywhere, Anytime at your pace.
    • Job and Title Based Tasks as followed and Practiced in industry
    • Applying Concept into Real-time (Policies, governance and tools)
    • Work on Role Based Tasks followed and Practiced in industry
    • Mocks and Narratives for Client Discussions
    • Readiness to work with limited support

     

  • Career Pathways

    Our objective is to help students to meet the following career pathways. Typical Managed Care Business Analyst Job Titles the candidates can apply after this training program are:

MANAGED CARE – JOB TITLES
  • Managed Care Associate
  • Healthcare Business Analysis
  • Business System Analyst
  • Clinical Analyst
  • Compliance Analyst
  • Quality Assurance Analyst
  • Manager Privacy
  • Financial Analyst – Healthcare
  • Compliance Analyst
  • Quality Assurance Analyst
Curriculum Overview

The course provides a thorough foundation in Healthcare Business Management and Managed Care processes. After going thru the program, the student will be able to perform the following duties. Work within team of business analysts to support the organization in proactive and retrospective analysis, tracking, research and problem resolution related to authorizations, utilization management and Clinical Operations.Manages the overall program of tools and reports for the Clinical Operations team to assess and track authorization status, workload, turnaround time, pended claims, and other performance metrics.Provide analytical support for both in an outpatient and inpatient setting. Responsible to investigate, document, and analyze client requirements in project areas such as: new/existing business operating models with innovative approaches to applicable department solutions support, market research of emerging or available product functionality and operational readiness assessment.

MANAGED CARE BUSINESS ANALYST
LIST OF TOPICS

1: An Introduction to Scrum
2:  Introduction to Managed Care
3:  Role of ACO and Provider Delivery System
4: Service Coordination and Care Management
5: Data Warehouse Concepts
6: Managed care Payment and healthcare Financing
7: Requirement Elicitation and Analysis
8: Predictive Modeling
Program Brochure

Reviews

  • Lor Torya Matthews

  • Q-Tech Managed Care Business Analyst Internship program allowed me to gain a deeper knowledge and understanding of the U.S. healthcare system. I feel very well prepared to take enter the healthcare sector with a broad understanding of managed care. The training that I received will be very beneficial to the career that I want to begin. The instructor broke down all of the information in ways that were understandable, and whenever I had a question, he always made sure that my question was answered accurately.
  • Category:
    Healthcare BA
  • Duration:
    02 Weeks / 60 Hours
  • Price:
  • Language:
    English
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