Business Analyst
Business Analyst
Posted on :
04-09-2025
Employer Active
1 Vacancy
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Job Description
Required Education:
Bachelors degree or higher in Business IT or Healthcare administration with minimum of 3 years experience or equivalent in healthcare administration setting
Required Skills Qualifications Experience and Knowledge:
Proficient in business analysis to support all stages of system project lifecycle
Competency in HIPAA claims and payment transaction processing
Strong data analysis skills- SQL proficient
Excellent communication and documentation skills
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
Preferred Skills Qualifications Experience and Knowledge:
Knowledge of SDLC and Agile methodology a plus
Medicaid systems experience as well as claims
Knowledge of MassHealth program
Client is seeking to hire a Business Analyst to join our collaborative Medicaid Management Information System (MMIS) team. The Business Analyst (BA) will work on our established Provider Reimbursement and Prior Authorization functional areas to support the development testing and implementation of projects and enhancements to meet the business objectives of the 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 as 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 Responsibilities:
Lead and participate in joint application design session with stakeholders
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 end-user training materials and end-user 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 needed
Support program staff vendors and other stakeholder with MMIS related questions or concerns.
Provide back up to other business analysts as needed
Data query and analysis
Bachelors degree or higher in Business IT or Healthcare administration with minimum of 3 years experience or equivalent in healthcare administration setting
Required Skills Qualifications Experience and Knowledge:
Proficient in business analysis to support all stages of system project lifecycle
Competency in HIPAA claims and payment transaction processing
Strong data analysis skills- SQL proficient
Excellent communication and documentation skills
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
Preferred Skills Qualifications Experience and Knowledge:
Knowledge of SDLC and Agile methodology a plus
Medicaid systems experience as well as claims
Knowledge of MassHealth program
Client is seeking to hire a Business Analyst to join our collaborative Medicaid Management Information System (MMIS) team. The Business Analyst (BA) will work on our established Provider Reimbursement and Prior Authorization functional areas to support the development testing and implementation of projects and enhancements to meet the business objectives of the 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 as 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 Responsibilities:
Lead and participate in joint application design session with stakeholders
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 end-user training materials and end-user 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 needed
Support program staff vendors and other stakeholder with MMIS related questions or concerns.
Provide back up to other business analysts as needed
Data query and analysis
Employment Type
Full-time
Key Skills
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