Expert BA
Expert BA
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Job Description
Position Title: Expert BA
Employee Status: Contract
Location: Remote
Purpose:
The ideal candidate will bring deep domain knowledge of Medicaid Managed Care strong analytical and documentation skills and a proactive approach to process improvement and stakeholder collaboration.
Responsibilities:
Lead business analysis activities for the design implementation and maintenance of the Medicaid Contract Compliance Tracking system
Develop and manage system requirements workflows business rules and process documentation
Perform extensive data validation and data mapping.
Create and execute comprehensive test cases for UAT system integration and regression testing
Engage with internal stakeholders and end users to support user testing feedback collection and training
Serve as a liaison between business units technical teams and MCOs to ensure requirements are clearly understood and delivered
Develop track and maintain project deliverables including requirements documents process flows use cases test plans and user manuals
Oversee dashboarding and reporting features to track compliance metrics corrective action plans and key performance indicators
Monitor and manage production support issues facilitate triage and ensure timely resolution
Identify and implement opportunities to improve compliance workflows and tracking mechanisms
Support issue management processes including documentation prioritization root cause analysis and resolution tracking
Work Requirements Experience Education and Skills:
Minimum 5 years of experience as a Business Analyst with at least 3 years focused on Medicaid Managed Care or other state/federal health programs
Strong knowledge of Medicaid Managed Care programs federal regulations (e.g. CFR 42 MCO oversight/compliance processes
Demonstrated experience gathering business requirements creating process flows and documenting business rules
Hands-on experience with test case development and execution
Proven ability to engage end users and facilitate UAT and production support
Excellent communication skills both written and verbal
Proficiency with tools such as JIRA Confluence Visio Excel and report/dashboard platforms (e.g. Power BI or Tableau)
Employment Type
Full Time
