Business Analyst

Role: Business Analyst

Location: Austin, Texas (Hybrid)

Duration: 12+ Months Contract

Job Description:

• Reviews, analyzes, and evaluates business systems and user needs.
• Formulates systems to parallel overall business strategies.
• Experienced with business process reengineering and identifying new applications of technology to business problems to make business more effective.
• Familiar with industry standard business process mapping, and reengineering. Prepares solution options, risk identification, and financial analyses such as cost/benefit, ROI, buy/build, etc.
• Writes detailed description of user needs, program functions, and steps required to develop or modify computer programs.
• 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 no 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 state's 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.
• Create 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.

II. CANDIDATE 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.