Overview
Skills
Job Details
Primary Responsibilities:
Planning, writing, and maintaining detailed technical, operational, and process documentation.
Gathering and analyzing technical information from various sources to be included in the
documentation.
Leading, developing, and maintaining a library of technical and business documentation source
code and reports.
Analyze Medicaid program including claims, eligibility, and provider data supporting data
warehouse downstream reporting and analytics.
Developing and supporting technical training materials.
Modifying existing technical documentation for business needs.
Participating in and leading technical and business requirements sessions.
Meeting with the project team regularly to consolidate project status and reporting.
Engaging with the customer as needed to provide updates on technical documentation and
project work.
Working with the development and QA team to assure each document has been thoroughly
reviewed and support process improvements and operational efficiency.
Mentoring/Coaching other project team members on effective writing skills and strategies for
consistency.
Performing additional duties that are typically associated with this position, as assigned.
Required Qualifications:
5+ years of healthcare business analysis experience supporting business initiatives through data
analysis, writing business requirements and user acceptance testing of various systems.
5+ years of experience serving as a technical analyst in healthcare (payor).
3+ years of experience working specifically with Medicaid programs, MMIS/MES or related
systems.
3+ years of experience in knowledge management creating, organizing, sharing, and optimizing
knowledge within an enterprise organization using tools such as Microsoft 365, AI-enabled
search, MS SharePoint/Teams, and JIRA.
Proven ability to lead communication (written and verbal) at the customer leadership level.
Knowledge of health insurance, HMO, and managed care principles including Medicaid and
Medicare regulation.
Ability to interpret federal and state Medicaid policy and translate it into business and technical
requirements.
Effective organizational, analytical, time management, problem-solving, and multi-tasking skills,
and habits; ability to complete assignments under tight deadlines with little/no direct
supervision.
Bachelor s degree in business, information systems, Public Health, or a related field
Preferred Qualifications:
Master s Degree in related field is preferred.
5+ years of experience as a technical analyst in payor healthcare.
3+ years of experience writing SQL using large-scale database management tools.
3+ years of experience working with State Medicaid and CHIP agencies including federal
reporting (CMS 64/21, TMSIS, PERM).
Knowledge of data integration, software enhancements/planning and agile methodologies
Experience with using Azure DevOps, SharePoint, MS Project, Visio