Healthcare BA -Medicaid/Medicare

Overview

Remote
Depends on Experience
Contract - W2
Contract - 4 Month(s)

Skills

Microsoft Azure
SAP
SSMS
SQL
SAS EG
Text Editor
UAT
Word
Visio
Excel
PowerPoint
O365
JIRA
MS project
Medicare Part D rules and regulations
Medicaid services
claims adjudication process
CMS guidance
PDE data
BA
QA
ELT

Job Details

Seeking a Business analyst/QA for remote contract role in Eagan MN.

potential for contract to hire.

If interested share your word document resume, work authorization, current location, Skill stack, availability for hybrid work, and LinkedIn .

Location: Eagan MN-- Role will be mostly remote, must be available to come on site as needed for team meetings and events (estimated 1x a month).

TECHNICAL SKILLS

Medicare /Medicaid domain , SQL Server Management Studio, SQL coding, C#, SAS EG, Text Editor, executable UAT knowledge and functions ,MS Azure .


- Role will be mostly remote, resource must be available to come on site as needed for team meetings and events (estimated 1x a month).



IT Business Systems Analyst, Sr.
Your Responsibilities

  • Serves as a conduit between customers, vendors, and the IT Solutions development team from medium to large sized projects encompassing Medicare Part D and Medicaid.
  • Strong ability to translate existing and non-existing business processes to technical requirements including metadata profiling, understanding SDLC, and the processing of ELT functions.
  • Proficient ability to understand and translate CMS Medicare Part D guidance into technical requirements in collaboration with multifunction teams.

Required Skills and Experience

  • Communication ability to speak clearly and concisely in both verbal and written formats.
  • Technical ability to understand and convey technical information in a simple user-friendly manner.
  • Proficient in SQL Server Management Studio, SQL coding, and C#
  • Organizational ability to gather, categorize and prioritize information.
  • Interpersonal ability to listen, observe, translate, and facilitate discussions to upper management as well as in a group setting across multiple functional teams.
  • Management ability to negotiate priorities and resolve conflicts among multiple stakeholders in different phases of projects.
  • Independently manage multiple tasks or projects that can become escalations or high priority functions across multifunctional teams with little to no management involvement.
  • Ability to lead, define, streamline business processes and system implementation enhancements within the organization s required policies, procedures, and tools as a SME.
  • Consults on application issue resolution, including recommending priorities for work requests and proposing alternative solutions.
  • Participate in mathematical models, designing of algorithms in connection to other departments and vendors, analyze metadata keeping SLA s trends and reporting deliverables, and perform analysis of risk assessments and cost benefit analysis in cooperation with business stakeholders.
  • Acts as a mentor to Enterprise IS Business Analysts in the areas of requirements gathering, documentation, business analyst processes, problem solving, and customer vendor management.
  • Ability to meet deadlines and prioritize timelines


Required Skills and Experiences:

  • Bachelor s degree and 5+ years of related professional experience, or 9 years of related experience in lieu of a degree.
  • Advanced collaboration, interpersonal, oral and written communication skills with proven track record of professional communications at all levels of management.
  • Advanced research, analytical problem solving, algorithm methodology development, and the ability to analyze processes to scope process improvements.
  • Project management skills with the strong ability in utilizing Microsoft suite of tools including Word, Visio, Excel, PowerPoint, O365, JIRA, and other project tools.
  • Proven understanding of the health care industry area s of Medicare Part D rules and regulations, Medicaid services, claims adjudication process, CMS guidance, and the life cycle of PDE data.
  • Evening, night, or weekend hours may occasionally be required during the AEP season as well the months before and after AEP.
  • Proficient with SSMS, SQL, SAS EG, Text Editor, and executable UAT knowledge and functions.

Preferred Skills and Experiences

  • Working knowledge of SAP and a basic understanding of the software development lifecycle that pertains to different types of data format communications between IT organizations.
  • High degree of integrity with a can-do attitude proving ability to motivate and inspire cross-functional teams who are technical and non-technical across the organization to successfully complete work or projects in a fast-paced environment.
  • The ability to demonstrate decision making process using data, identifying process improvements in an agile environment, and discovering trends in data where there s follow through in implementation improvement needs.
  • Working knowledge of serverless computing services surrounding Microsoft Azure.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

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