Medicaid Business Analyst
3 weeks ago
- 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.
- 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.
- 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.
- 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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