JOB RESPONSIBILITIES:
- Evaluating business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutions.
- Work closely with clients, technicians, and managerial staff.
- Perform user acceptance testing.
- Contribute expertise in provider services-related business functions, including advanced knowledge in the review and approval of provider eligibility
- Lead/support requirements and design sessions
- Analyze, document and clarify system business requirements
- Create Functional Design Documents for system enhancements
- Manage scope and implementation schedules for product releases
- Support federal system certification
- Execute system tests before User Acceptance Testing
- Maintain system documentation
- Interact daily with state clients and internal customers regarding system status and day-to-day processing
- Support user staff with analysis and resolution of issue reports
- Analyze complex data and measure outcomes
- Coordinate with technical staff to sufficiently understand technical requirements, specifications, and processes
- Interact with company and client managers and perform cost/schedule monitoring
- Other duties as assigned by management
EDUCATION AND EXPERIENCE REQUIREMENTS:
- A minimum of a bachelor’s degree or four years related work experience
- Two years of direct experience as a business analyst in design, development, testing, and implementation of software
- Knowledge of Medicaid and provider enrollment business processes
- Knowledge of system design and development process
- Strong understanding of system testing metrics, best practices, and methodologies
- Experience with Provider screening, certification, and credentialing activities and interfaces preferred
- Experience working with State government clients in the Medicaid systems domain preferred
- Strong interpersonal skills
- Excellent organizational, interpersonal, verbal, and written communication skills
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment
- Ability to successfully execute many complex tasks simultaneously
- Ability to work as a team member, as well as independently