Medicaid Business Analyst

3 weeks ago

Newtown Square, Pennsylvania, United States Alivia Analytics Full time
About the RoleWe are seeking a highly skilled Business Analyst to join our team at Alivia Analytics. As a Business Analyst, you will play a critical role in bridging the gap between business requirements and technological solutions, contributing to the enhancement and optimization of our platform. Your analytical skills, attention to detail, and collaborative nature will be essential in ensuring the successful execution of various projects and initiatives.Key Responsibilities
  • Collaborate with stakeholders to elicit, document, and analyze business requirements related to healthcare operations.
  • Lead Joint Application Design (JAD) sessions to gain consensus among multiple stakeholder groups.
  • Evaluate and assess current processes, identifying opportunities for improvement, automation, and increased efficiency.
  • Work closely with the business and technology development teams to translate business requirements into technical specifications, ensuring seamless integration of technology solutions.
  • Document business requirements by developing use cases and maintaining requirements traceability across the SDLC.
  • Prepare comprehensive documentation, including business requirements, functional specifications, use cases, process flows, and user guides.
  • Work with the team to create meeting agendas, meeting minutes, project plans, contingency plans, disaster recovery plans, and other documentation required by the MECT lifecycle process.
Requirements
  • Minimum 10 years of experience in Information Technology as a Business Analyst on large-scale, healthcare system implementations.
  • A minimum of 5 years of Medicaid (MMIS) or Healthcare payer background is required.
  • Strong understanding of Medicaid policies, regulations, and healthcare operations.
  • Detail-oriented mindset with the ability to translate complex requirements into clear and concise documentation.
  • Demonstrated experience in conducting Joint Application Design (JAD) sessions and gaining consensus among multiple stakeholder groups.
  • Demonstrated experience in developing use cases, managing requirements traceability, and a working knowledge of requirements management repository tools.
  • Strong interpersonal and communication skills, including the ability to gain consensus among multiple stakeholder groups.
  • Strong verbal and written communication skills, with the ability to communicate abstract technical concepts to a business layperson audience.
  • Adaptability to work in a fast-paced environment and manage multiple projects simultaneously.
Desired Qualifications
  • Working familiarity with CMS (Center for Medicare and Medicaid Services) MITA framework and the MECT (Medicaid Enterprise Certification Toolkit).
  • Familiarity with HIPAA-compliant messaging formats such as HL7, X12, NCPDP, and NIEM.
Education
  • Bachelor's Degree in a relevant field such as Healthcare Administration, Business Administration, Information Technology, or a related discipline or equivalent experience.
  • A Master's Degree or relevant certifications, such as Certified Business Analyst Professional (CBAP) or Certified Healthcare Business Analyst (CHBA), are preferred but not mandatory.

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