Vacancy expired!
- Analysis of current business processes and systems, and documenting requirements for new processes and systems
- Work with internal team and customer on business documentation and updates
- Attend meetings with user groups and document meeting minutes, action items, and decisions.
- Assist with user acceptance testing, including defect reporting and follow up. Help with development of test scenarios and acceptance criteria
- Help with developing presentations for internal team or for the customer. Solicit input from others and pull information together to create a professional presentation.
- Work with team to document updates needed for Operations Guide
- Assist with analysis of Medicaid enrollment, provider and claims data, and document requirements, use cases
- Assist with identifying and documenting data anomalies and collaborate with cross functional teams for effective resolution
- Share use cases to data analysts for profiling, review results and infer compliance to Medicaid / CMS processes and guidelines
- Ability to juggle multiple priorities and ensure availability to questions and clarifications from data analysts
- Positive attitude and willingness to jump in and help where needed
- 5+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems
- 4+ years of experience in working with State Medicaid and CHIP agencies
- Basic understanding of CMS reporting requirements for Medicaid
- Basic understanding of FFS, Managed Care claim adjudication processes from enrollment to funding/finance
- Basic understanding of managed care encounters
- Knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation
- Knowledge of Affordable Care Act and eligibility
- Be a self-starter and able to thrive in an environment with little guidance
- Strong time management and organizational skills
- Excellent interpersonal, oral, and written communication skills
- Experience with facilitating meetings
- Proficient with MS Word, MS Excel
- Effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision
- Bachelor’s degree in related field
- Experience working with PERM, T-MSIS, CMS Federal Reporting or similar projects
- Experience in HEDIS, CHIPRA or similar quality metrics
- Knowledge of Quality of Care program
- Ability to perform some data analysis using SQL, Excel against data warehouses utilizing large datasets
- Knowledge of data integration, software enhancements/planning and agile methodologies
- Experience with using Azure DevOps, SharePoint, MS Project, Visio
Vacancy expired!