Medicaid Business Analyst

Overview

Accepts corp to corp applications
Contract - Independent
Contract - W2
Contract - Harrisburg, PA

Skills

MMIS
State Medicaid
JAD
BRD

Job Details

Role - Medicaid Business Analyst
Location - Harrisburg, PA

Overview: Seeking an experienced Medicaid Business Analyst with prior State government Medicaid BA experience to support MMIS Modernization work. Candidate must be local to the greater Harrisburg, PA area and able to meet onsite 2x/week. LinkedIn profile with photo required.

Position Responsibilities
Requirement Gathering and Documentation: Identify, gather, and document MMIS Modernization business requirements. Track changes from original project requirements through JAD sessions to final system requirements for each module. Produce Business Requirements Documents (BRDs) that include module background, process flows, business requirements, assumptions, key decisions and dates, open issues, testing scenarios, and operational and cross-initiative impacts.
Traceability and Compliance: Ensure traceability between module business requirements and CMS certification requirements. Familiarity with healthcare standards/regulations (e.g., HIPAA, FHIR) is desirable.
Application Testing: Develop comprehensive test plans and test cases to validate business requirements; develop test scenarios to exercise application logic, data validation and error handling. Coordinate and execute User Acceptance Testing (UAT), analyze test results, work with development teams to resolve defects, and document testing outcomes for stakeholder review.
Required Skills & Experience
Business Analysis: Proven experience in requirements gathering, business systems planning, procedural development, implementation, validation, problem-solving, contingency planning, conducting JAD sessions, gap analysis, UAT, cost-benefit and ROI analysis. Experience with Provider Management and/or Electronic Visit Verification (EVV) modules preferred.
Technical / Tools: In-depth knowledge of SDLC; ability to convert use cases into test documents, test plans and test scripts. Familiarity with TFS/ADO and MS Project. Strong Microsoft Office skills.
Collaboration & Leadership: Experience engaging with C-level executives, building relationships with clients and stakeholders, strong interpersonal and negotiation skills, self-starter able to work independently and in teams, strong management and domain understanding to meet project goals.
Communication: Excellent verbal and written communication skills; ability to influence stakeholders and ensure collaboration across teams.
Location & Other Requirements
Candidates MUST be located in the greater Harrisburg, Pennsylvania area and able to meet onsite 2x/week.
LinkedIn profile with photo required and proof of location required.

Best Regards,

Nitin Diwakar
Technical Recruiter || Talent Portus

Email:

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