Business Analyst/Data Analyst

Functional Description:

The Business Analyst/Data Analyst will perform business and data analysis tasks daily. Functions will
include analysis, planning, assisting in managing project deliverables, updating the project plan using
Microsoft Project, coordinating between the technical team and the business users. This role will
support analysis of two different data structures to support conversion and new data model
development of a large-scale data warehouse using complex SQL. This includes providing direction for
the solution, ensuring data quality, and support of the design, development, and implementation (DDI)
of the project.

Primary Responsibilities:

Analysis of Medicaid enrollment, provider, and claims data, current business processes and
systems, identify requirements for new processes and systems, identifying and documenting
data anomalies and collaborate with cross functional teams for effective resolution.
Work with internal team and customer on business documentation and updates.
Facilitate meetings with user groups and document meeting minutes, action items, and
decisions.
Support the DDI Project Manager, as needed, including maintaining the Microsoft Project
Plan/Schedule for DDI project.
Develop professional presentations using Microsoft PowerPoint.
Assist with data quality testing and follow up with business and ETL and QA Team.
Share use cases to data analysts for profiling, review results and infer compliance to Medicaid /
CMS processes and guidelines
Ability to juggle multiple priorities and ensure availability to questions and clarifications from
data analysts
Positive attitude and willingness to jump in and help where needed
Required Qualifications:
7+ years of healthcare business analysis experience supporting business initiatives through data
analysis, writing business requirements and user acceptance testing of various systems
4+ years of experience in working with State Medicaid and CHIP agencies
5+ years of Basic understanding of CMS reporting requirements for Medicaid
Bachelor s degree or higher degree in business intelligence, analytics, computer science,
engineering, or related field
Firm understanding of Fee for Service (FFS), Managed Care claim adjudication processes from
eligibility and enrollment to claims processing to funding/finance
Knowledge of health insurance, Health Management Organizations (HMO) and managed care
principles including Medicaid and Medicare
Experience working on a Medicaid Enterprise System DDI.
Proficient in MS Word, MS Excel, MS Project, SharePoint and MS PowerPoint.
Be a self-starter and able to thrive in an environment with little guidance
Strong time management and organizational skills
Excellent interpersonal, oral, and written communication skills
Experience with facilitating meetings
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.

Preferred Qualifications:

Experience working with PERM, T-MSIS, CMS Federal Reporting or similar projects
Experience with Teradata and SQL Assistant
Experience in Azure Data Factory, PowerBI and Snowflake
Knowledge of Quality of Care program
Knowledge of data integration, software enhancements/planning and agile methodologies
Experience with using Azure DevOps, JIRA and Visio