Remote Senior Business Analyst - Electronic Visit Verification (EVV)

JOB TITLE: Remote Senior Business Analyst - Electronic Visit Verification (EVV)
JOB LOCATION: Remote
WAGE RANGE*: $45hr to $50hr
JOB NUMBER: 26-00427

REQUIRED EXPERIENCE:

6 or more years of experience as a Business Analyst in the Healthcare Industry with 3 or more years of Medicaid and Medicare experience preferred
Experience supporting EVV or similar healthcare technology platforms, including partnering with IT and vendors to define system changes, integrations, and business rule configurations (e.g., visit verification logic, GPS/FVV, call in/call out workflows)

JOB DESCRIPTION
As a Senior Business Analyst - Electronic Visit Verification (EVV) you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position.

System Implementation & Support
Partner with IT teams and EVV vendors to define system changes, integrations, and enhancements
Support API and data exchange workflows with Medicaid systems, third party EVV providers, and internal platforms
Assist in configuring business rules (visit verification logic, call in/call out workflows, GPS, FVV)

Testing & Validation
Develop test plans and test cases; execute UAT for new releases and defect fixes
Validate data accuracy across EVV, scheduling, and billing systems

Stakeholder Engagement
Act as primary liaison between operations, provider agencies, vendors, and IT
Lead requirements workshops, design sessions, and process mapping meetings
Provide end user training and maintain system/process documentation

Compliance & Reporting
Monitor EVV compliance metrics and identify improvement opportunities
Support audits, quality reviews, and state reporting efforts
Ensure system changes meet Medicaid and CMS EVV requirements

What we're looking for
6 or more years of experience as a Business Analyst in the Healthcare Industry with 3 or more years of Medicaid and Medicare experience preferred
Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools
Experience working with Application Lifecycle Management (ALM) tools, including Jira for backlog management and sprint tracking and Confluence for documentation
Strong understanding of Agile/Scrum methodologies, including participation in sprint ceremonies, backlog refinement, and user story development
Strong client communication skills translating client needs to actionable objectives
Strong analytical and business process re-engineering skills
Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel
Demonstrated leadership skills with the ability to motivate others and communicate key technical ideas in a digestible, business friendly manner

Electronic Visit Verification requirements
Experience supporting EVV or similar healthcare technology platforms, including partnering with IT and vendors to define system changes, integrations, and business rule configurations (e.g., visit verification logic, GPS/FVV, call in/call out workflows).
Ability to develop and execute test plans and UAT, validate data across EVV, scheduling, and billing systems, and ensure accuracy of end to end workflows.
Skilled in facilitating requirements sessions, process mapping discussions, and training for provider agencies, operations teams, and other stakeholders.
Demonstrated experience monitoring EVV compliance metrics, supporting audits and state reporting, and ensuring all system updates align with Medicaid, CMS, and state specific EVV requirements.

Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities

* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.

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