Medicaid Business Analyst (Hybrid)
Position Responsibilities:
- Requirement Gathering and Documentation:
- Identify, gather, and document Medicaid Management Information System (MMIS) Modernization business requirements.
- Track changes from original MMIS Modernization project requirements, changes made during Joint Application Development (JAD) sessions, and final system requirements for each module.
- Produce the Business Requirements Document (BRD) including the module's background, process flows, business requirements, assumptions, key decisions, key decision dates, open issues, testing scenarios, and operational and cross-initiative impacts.
- Traceability and Compliance:
- Confirm traceability between the module business requirements and CMS Certification requirements.
- Experience with healthcare standards or regulations (e.g., HIPAA, FHIR) is desirable.
- Application Testing:
- Develop comprehensive test plans and test cases to ensure all business requirements are met.
- Develop test cases, test situations to thoroughly test application logic, data validation, and error handling.
- Coordinate and execute User Acceptance Testing (UAT), ensuring functionality aligns with business needs and requirements.
- Analyze test results and work closely with development teams to resolve any issues or discrepancies.
- Document testing outcomes, providing detailed reports for stakeholder review and feedback.
Required Skills:
- Requirement Gathering and Analysis:
- Experience in gathering requirements, business systems planning, procedural development, implementation, validation, problem-solving, and business contingency planning.
- Experience in conducting JAD sessions with end-users, business analysts, software developers, and quality assurance teams.
- Experience in conducting Gap analysis, User Acceptance Testing (UAT), Cost-benefit analysis, and ROI analysis.
- IT experience with Provider Management and/or Electronic Visit Verification (EVV) modules is preferred.
- Technical Skills:
- In-depth knowledge of the Software Development Life Cycle (SDLC).
- Proficiency in converting Use Cases into test documents, Test Plans, and Test Scripts.
- Familiarity with project management tools such as TFS/ADO and MS Project.
- Strong Microsoft Office skills
- Collaboration and Leadership:
- Experience collaborating with C-Level Executives to guide new project directions.
- Proven ability to build relationships with contracted clients and current companies.
- Ability to develop and maintain strong working relationships with stakeholders and clients.
- Self-starter with the ability to work as part of a team and independently.
- Excellent management skills with an ability to understand the business domain and ensure goals are met.
- Communication and Teamwork:
- Dynamic team player with excellent verbal and written communication skills.
- Strong interpersonal skills with the ability to influence stakeholders and ensure collaboration.
- Proficient in conflict resolution and negotiation.
Location Requirements:
- Candidates MUST be located in the greater Harrisburg, Pennsylvania area and able to meet onsite 2x/week
Additional Info
Job Type : Full-Time
Education Level : Bachelors Degree
Experience Level : Mid to Senior Level
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