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Job Title: Medicaid Business Analyst - (W2 only- Citizens)
DAILY DUTIES/RESPONSIBILITIES:
Possess expertise in the business unit(s) they support as well as an understanding of the IT organizations systems and capabilities.
Analyze business partners operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions.
Assist in the business process redesign and documentation as needed for new technology.
Translate high level business requirements into functional specifications for the IT organization and manage changes to such specifications.
Educate the IT organization on the direction of the business.
Negotiate agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation.
Possess an understanding of technological trends and use this knowledge to bring solutions to business units supported to enhance the enterprises competitive edge.
Perform business process analysis and performance assessments for the assigned projects.
Train and mentor team members in delivering high quality business solutions that meet the overall strategy and vision.
Build positive relationships with clients and proactively address specific needs.
Lead business design sessions within assigned modules and work streams.
Advocate and lead business integration in support of the MES Modernization.
Drive though dynamic discussion efficient configuration of data within the core modules of MES Modernization.
Provide liaison role between business and IT verticals.
Ensure project deliverables for each project connect to the operational principles.
Coordinate priorities and resources between multiple projects.
Provide updates on status and issues for all assignments.
Participate in scheduled operational meetings and routine team leads meetings.
Lead cross-functional meetings and produce business designs that integrate functionality across modules.
Facilitate sessions to effectively resolve issues if any.
Provide recommendations of appropriate resources if necessary to ensure assignments are completed within given time and budget.
Create and maintain key performance indicators to indicate project progress toward business integration goals.
At least seven years of experience in commercial healthcare.
At least three years experience in States Medicaid payer system integration and delivery.
Experience with inner workings of cross functional projects.
Understanding of business architecture principles related to Medicaid enterprise systems and frameworks.
Familiarity with standard data structures electronic data interchange processes and related file formats.
Interest skill and ability to innovate including business processes methods/procedures and technology.
Ability to effectively work and communicate in both oral and written with all levels of the Agency from frontline workers to Executive Staff as well as the Contractor(s).
Ability to work in a professional office environment with a diverse group of teammates.
Must have exceptional attention to detail.
Large business and technology integration.
Commercial integrations with Medicaid or other Government operations.
Knowledge of Federal Certification requirements and processes.
Project management.
Bachelors degree in a technical business or healthcare field or equivalent experience.
Full-time