Business Analyst

Title: Business Analyst
Location: Quincy MA (Mostly Remote)
Duration: Multi Year Renewable Contract
Hours: 37.5 Weekly Hours

Client MMIS

Overview:

• We are looking to hire a Business Analyst to join our collaborative Medicaid Management Information System (MMIS) team.
• The Business Analyst (BA) will work on our established Member Managed care and/or Claims and Provider Reimbursement functional areas to support the development testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community.
• The BA should be well versed in health plan management operational concepts and the systems development lifecycle.
• Preference will be given to candidates with Medicaid systems experience well as claims and business knowledge of the MassHealth program. The BA must have sufficient knowledge of the entire scope of the health care business to ensure that the development and testing work within their functional area is compatible with the MMIS system.
• The BAs primary responsibility is to ensure that the implemented coding scheme meets the requirements of the business community and conforms to all applicable Federal and state laws.
• The BA will be called upon to act as an active member in all phases of the project including gap analysis requirements gathering design and development activities documentation testing implementation and stabilization.
• The BA will be expected to work independently as part of a team as well as with business stakeholders so excellent communication and documentation skills is a requirement for this job.

DETAILED LIST OF JOB DUTIES AND RESPONSIBILIITIES:

• Lead and participate in joint application design session with stakeholders
• Knowledge of SDLC and Agile methodology a plus
• Develop test strategies test scenarios and test cases based on written requirements
• Execute and review test runs and sign off on testing components
• Document requirements and participate in their development and testing
• Support the development of enduser training materials and enduser documentation as required enduser documentation as required.
• Possible oversight role during the stabilization phase of each release including the monitoring of system change execution the development of system fix strategies and the close monitoring of the implementation of those strategies
• Work with vendors to ensure business requirements are fully defined and tested.
• Communicate updates and changes to impacted stakeholders
• Represent MMIS in business meetings as nProvide back up to other business analysts as needed.
• Data query and analysis. Preferred Qualifications: D Proficient in business analysis to support all stages of system project lifecycle
• Competency in HIPAA claims and payment transaction processing C Strong data analysis skills SQL proficient S Excellent communication and documentation skill
• Excellent interpersonal skills necessary to interact effectively with project managers developers business analysts systems analysts SQA analysts business users/stakeholders and data processing personnel; as well as interact with representatives from external agencies and companies.
• Demonstrated ability to work independently as well as within project teams providing relevant system analysis services.
• Highly analytical with the ability to independently analyze document findings and recommend solutions.

Education and Certifications:
Bachelors degree or higher with minimum 3 years experience or equivalent in healthcare needed
Support program staff vendors and other stakeholder with MMIS related questions or concerns.