Medicaid Business Analyst

Responsibilities:
 
• Works with customers on presenting technical solutions for complex business functionalities.
• Possesses unwavering commitment to customer service and operational excellence.
• Provides customer support through leading client demos and presentations.
• Prioritizes and schedules work assignments based on the project plan, handling multiple tasks
across project phases.
• Creates and modifies Business Process Models.
• Understands the overall system architecture and cross-functional integration.
• Demonstrates in-depth knowledge of business analysis relates to Provider Enrollment,
Maintenance and Screening to ensure high quality.
• Demonstrates advanced expertise and contributes to the Business Analysis practice by
publishing technology points of view through the creation of white papers.
• Possesses in-depth knowledge and is well-versed in multiple functions or capabilities.
• Uses cases, workflow diagrams, and gap analysis to create and modify requirements documents
and design specifications.
• Analyzes user requirements and client business needs, leveraging expert opinion and expertise.
• Acts as the requirements subject matter expert and supports requirements change management.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and
its Privacy and Security Rules.
Required Qualifications
 
 Bachelor's’ degree with 7+ years of business analysis experience or master’s degree with
5+ years of business analysis experience.
 Minimum 5 years of experience on large complex project and domain knowledge of
Medicare Medicaid and/or healthcare verticals.
 Minimum 3 years of Lead Business Analyst experience on large complex projects.
 Strong knowledge in Medicaid Management Information System around Claim Payments
and Remittance Advice.
 Strong knowledge of Oracle Financials (OFIN) and managing vendor receivables and
payables.
 Excellent knowledge of generating Remittance Advices (835X12s).
 Excellent Business Analysis Process (SDLC, documentation procedures) experience.
 Excellent customer relation skills including presentation and meeting facilitation.

 Experience facilitating and running customer facing requirements and design sessions
Preferred Qualifications
 Strong knowledge and proficiency in SQL, plus high-level of technical and database
knowledge