Business Analyst Medicaid Systems

Hill Country Project Management LLC

Job Location:

Austin, TX - USA

Monthly Salary: Not Disclosed

Posted on: 15 hours ago

Vacancies: 1 Vacancy

Job Summary

Texas Residents Only Closes 11/19
Loc: Onsite 100% in Austin TX

OF SERVICES

Texas Health and Human Services Commission requires the services of1 Business Analyst 3 hereafter referred to as Candidate(s) who meets the general qualifications ofBusiness Analyst 3 Applications/Software Development and the specifications outlined in this document for the Texas Health and Human Services Commission.

The Business Automation Support (BAS) unit within the Medicaid and CHIP Services (MCS) Department oversees Texas Medicaid & Healthcare Partnership (TMHP) systems and related support activities. BAS provides oversight of LTC program systems which supports LTC providers for services delivered to individuals; modifications and updates to TMHP vendor systems; and encounter data and MCO file support and coordination.
A Business Analyst (BA) is needed to support the legislatively approved Provider Enrollment and Management System (PEMS) projects. PEMS is a centralized electronic method for Medicaid and non-Medicaid program providers interested in enrolling to submit a single application in a single location (a web portal) to be accepted and processed by a single entity based on their National Provider Identifier (NPI). HHSC would like to make significant changes to PEMS to improve the provider experience and system functionality.
The Worker will serve as a Business Analyst/Product Owner for the PEMS project and support activities as needed. The Worker will work directly with internal units (Provider Services); TMHP technical sprint teams; and business users to provide subject matter expertise perform critical analysis ensure requirements are gathered that meet the functional needs and assist in creating and maintaining a prioritized and healthy backlog as directed by the legislative mandate.
The Worker will be responsible for delivering quality products that meet the states desired operational and technical requirements. The worker will have considerable latitude to use their experience and judgement to ensure successful completion of their assigned tasks. The Worker will be required to multi-task analyze priorities communicate clearly and set expectations for the phases of the project. The Worker will be responsible for communicating with multiple internal and external stakeholders including program and technical staff and other contracted and vendor resources. The Worker will participate in meetings track deliverables and schedules and alert management of any issues that may impact providers.
The services to be provided include but are not limited to the following:

Analyzes program policies procedures and processes to determine the impact on business systems and functional areas.
Analyzes and reviews system data and project deliverables such as business user requirements design documentation test plans and risk assessment plans to ensure business and technical requirements are met.
Works with program area staff to solicit analyze and document business processes and requirements.
Acts as a liaison between state staff and vendors to translate operational and business requirements to vendors.
Serves as the Product Owner for an Agile team including working with Agile/Scrum teams of contracted software vendors to implement system changes.
Analyzes and writes User Stories with Acceptance Criteria based on business needs and according to the Agile methodology.
Develops and maintains business user test scenarios and participates in systems and user acceptance testing.
Creates use case scenarios test plans and exit criteria that accurately map back to the documented business requirements or user stories.
Reviews analyzes and executes test cases with a formal testing tool.
Tracks documents and reports the status of testing.
Evaluates proposed test strategies to ensure appropriate test coverage.
Identifies potential project risks and issues and develops mitigation strategies
Reports project status to management on established timelines.
Documents action items and business decisions.
Conducts meetings and/or presentation tasks as needed.
Manages schedule for deliverables as established.
Other duties as assigned related to PEMS projects.

SKILLS AND QUALIFICATIONS

Minimum Requirements: Candidates that do not meet or exceed the minimum stated requirements (skills/experience) will be displayed to customers but may not be chosen for this opportunity.
Years	Required/ Preferred	Experience
8	Required	Experience as a Business Analyst and Agile Product Owner.
8	Required	Experience utilizing the Agile software development methodology.
8	Required	Experience in performing complex business analysis and writing technical documentation.
8	Required	Experience reporting project status to management including risks issues and key decisions.
8	Required	Experience identifying project risks and issues; and developing/implementing mitigation strategies.
8	Required	Experience in effective general written/oral communication including documenting requirements deliverables test scenarios and project status.
8	Required	Experience utilizing business analysis skills and interacting with business end users to gather validate and document business requirements and translate into technical solutions to satisfy the business needs.
8	Required	Experience performing review and approval processes of complex technical user and system requirements written by vendors.
8	Required	Experience with Microsoft Office products (Teams Word Excel PowerPoint).
8	Required	Experience coordinating and developing test plans/strategies exit criteria and test scenarios.
8	Required	Experience executing detailed test cases within a complex software environment.
8	Required	Experience using testing management software.
8	Required	Experience with Microsoft Project or similar project management software.
8	Required	Experience approving and prioritizing user stories based on stakeholder feedback and subject matter expertise.
8	Required	Experience with Medicaid systems and processes.
8	Required	Experience in claims processing.
4	Preferred	Knowledge of Texas Medicaid programs.
2	Preferred	Experience with the Project Enrollment and Management Systems project.

Texas Residents Only Closes 11/19Loc: Onsite 100% in Austin TX OF SERVICES Texas Health and Human Services Commission requires the services of1 Business Analyst 3 hereafter referred to as Candidate(s) who meets the general qualifications ofBusiness Analyst 3 Applications/Software Development and ...

Analyzes program policies procedures and processes to determine the impact on business systems and functional areas.
Analyzes and reviews system data and project deliverables such as business user requirements design documentation test plans and risk assessment plans to ensure business and technical requirements are met.
Works with program area staff to solicit analyze and document business processes and requirements.
Acts as a liaison between state staff and vendors to translate operational and business requirements to vendors.
Serves as the Product Owner for an Agile team including working with Agile/Scrum teams of contracted software vendors to implement system changes.
Analyzes and writes User Stories with Acceptance Criteria based on business needs and according to the Agile methodology.
Develops and maintains business user test scenarios and participates in systems and user acceptance testing.
Creates use case scenarios test plans and exit criteria that accurately map back to the documented business requirements or user stories.
Reviews analyzes and executes test cases with a formal testing tool.
Tracks documents and reports the status of testing.
Evaluates proposed test strategies to ensure appropriate test coverage.
Identifies potential project risks and issues and develops mitigation strategies
Reports project status to management on established timelines.
Documents action items and business decisions.
Conducts meetings and/or presentation tasks as needed.
Manages schedule for deliverables as established.
Other duties as assigned related to PEMS projects.

SKILLS AND QUALIFICATIONS

Minimum Requirements: Candidates that do not meet or exceed the minimum stated requirements (skills/experience) will be displayed to customers but may not be chosen for this opportunity.
Years	Required/ Preferred	Experience
8	Required	Experience as a Business Analyst and Agile Product Owner.
8	Required	Experience utilizing the Agile software development methodology.
8	Required	Experience in performing complex business analysis and writing technical documentation.
8	Required	Experience reporting project status to management including risks issues and key decisions.
8	Required	Experience identifying project risks and issues; and developing/implementing mitigation strategies.
8	Required	Experience in effective general written/oral communication including documenting requirements deliverables test scenarios and project status.
8	Required	Experience utilizing business analysis skills and interacting with business end users to gather validate and document business requirements and translate into technical solutions to satisfy the business needs.
8	Required	Experience performing review and approval processes of complex technical user and system requirements written by vendors.
8	Required	Experience with Microsoft Office products (Teams Word Excel PowerPoint).
8	Required	Experience coordinating and developing test plans/strategies exit criteria and test scenarios.
8	Required	Experience executing detailed test cases within a complex software environment.
8	Required	Experience using testing management software.
8	Required	Experience with Microsoft Project or similar project management software.
8	Required	Experience approving and prioritizing user stories based on stakeholder feedback and subject matter expertise.
8	Required	Experience with Medicaid systems and processes.
8	Required	Experience in claims processing.
4	Preferred	Knowledge of Texas Medicaid programs.
2	Preferred	Experience with the Project Enrollment and Management Systems project.