EVV Business Analyst
1 month ago
The Texas Health and Human Services Commission (HHSC) Medicaid & CHIP Services (MCS) department seeks a highly qualified candidate to fill the position of Information Technology Business Analyst I (EVV Business Analyst) in the Electronic Visit Verification (EVV) unit. EVV is a computer-based system that electronically documents and verifies service delivery information, such as date, time, service type and location, for certain Medicaid service visits rendered in a member’s home.
The EVV Business Analyst reports to the EVV Director and serves as an IT business analyst for the EVV program. Activities for this position include performing routine (journey-level) business analysis work, working with contracted software vendors to ensure defect remediation, enhancements and maintenance items are properly categorized, reported, and implemented per contractual terms.
The EVV Business Analyst will also participate in the implementation of system changes; performing analysis of systems and business processes to ensure alignment with business operations; overseeing and coordinating development of business requirements; performing project management tasks; leading external stakeholder discussions to provide track feedback on upcoming system requirements; and participating in EVV system compliance reviews and other projects as assigned.
Essential Job Functions:
Defect, Change, and Enhancement Oversight (40%) – Ensures contracted vendors properly categorize, size, and prioritize system defects, enhancements, and changes. Performs vendor oversight to ensure contracted vendors adhere to agency business rules and contractual requirements and Service Level Agreements (SLAs).
Business Analysis (15%) – Performs analysis of multiple interrelated systems and business processes to ensure alignment with business operations. Coordinates across the EVV program and external stakeholders to develop system requirements and business processes that align with strategic goals and objectives. Recommends and oversees the development and integration of new operational or systematic methods and procedures to improve the program and resolve identified issues. Reviews system functionality against documented requirements to determine if the system is performing as expected. Assesses system defects for business impact and verifies solutions comply with system and program requirements.
Analysis and Requirement Development (15%) – Participates in the development of business requirements for the EVV systems stemming from federal and state legislative mandates, technical system needs and external stakeholder feedback. Researches and analyzes state and national trends, policy issues, proposed legislation, regulations, and rules to develop business requirements. Works with other EVV staff and external stakeholders to support projects from inception through implementation by identifying and removing barriers to timely implementation. Disseminates, presents, reviews, and approves the development, analysis, implementation, and documentation of business requirements. Analyzes EVV systems data, claims processing systems, and other related systems to identify and make recommendations for business requirement updates or new projects.
Stakeholder Liaison & Communications (10%) – Represents the EVV unit in stakeholder workgroups to elicit business requirements and present proposed solutions. Responds to inquiries. Prepares and approves written reports for department leadership. Ensures communication related to EVV technology projects is timely, accurate and appropriate for targeted audience. Leads workgroups including coordinating requirement review cycles, incorporating stakeholder feedback into requirement development, presenting proposed changes and project status.
Project Management (10%) - Communicates project status, risks, issues, develops risk mitigation strategies, and reports information to management. Develops project plans and timelines that align with other projects to meet department objectives. Tracks and reports on work activity and timelines to ensure project success. Leads projects consisting of business and technical staff.
Special Projects (10%) - Assists staff with technical research to resolve complaints and provider escalations. Communicates directly with stakeholders to troubleshoot issues and provide resolution. Reviews EVV policies and procedures, training deliverables, and other EVV documentation to ensure consistency with business requirements and system functionality. Develops and maintains department process and procedures relevant to the position. Other projects as assigned.
Knowledge Skills Abilities:
Knowledge:
Knowledge of claims processing systems or other healthcare IT systems preferred.
Knowledge of standard information technology business analysis concepts and practices.
Knowledge of the agile software development life cycle.
Knowledge of software defect management process.
Skills:
Skill in developing and documenting business requirements.
Skill in analyzing and evaluating information and presenting the results to stakeholders.
Skill in facilitating meetings.
Skill in eliciting business needs from subject matter experts.
Abilities:
Ability to identify and analyze system issues and determine business impacts.
Ability to analyze systems and procedures.
Ability to communicate effectively.
Ability to analyze and interpret state and federal laws, regulations, and policies.
Analyze and interpret contract requirements.
Ability to train and lead teammates.
Ability to evaluate systems for compliance with business and technical requirements.
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