Job Description :
WHAT YOU’LL NEED:

Technical Requirements and/or Certifications »

Certified Business Analysis Professional (CABP) preferred


Education and Experience »

8 or more years of experience in Business Analyst/Consultant capabilities with
State Medicaid, MMIS, or healthcare industry knowledge is necessary
Experienced with business process reengineering and identifying new applications of technology to business problems to make business more effective
Experience with business analyst and testing industry standards, current and emerging technologies, business process mapping, and reengineering
Business analyst skills and experience:
Facilitation
Efficiently plan and execute meetings
Establish agenda and set meeting objectives
Document and distribute meeting decisions and action items
Timely follow-up on all action items
Document issues and providing to Project Manager
Formulate systems to parallel overall business strategies
Prepare Risk Identification
Prepare Fiscal Analysis (i.e. cost/benefit, ROI, buy/build)
Relies on experience and judgment to plan and accomplish goals. Independently, performs a variety of complicated tasks. A wide degree of creativity and latitude is expected.
Elicitation
Efficiently and effectively divine business requirements from business area staff
Documentation
Use established business requirement templates
Produce clear and concise requirements documentation
Create traceability to RFP requirements
Validation
Effectively and efficiently review and validate documented business requirements with business area staff and owners
Review, analyze, and evaluate business systems and user needs
Testing
Document clear test plans and create test cases that are traceable to business, functional, non-functional, and transition requirements
Effectively and efficiently executes test plan and document test results
Document defects and collaborates with other business analysts and developers to resolve and execute regression testing
Facilitate review of test results with project stakeholders
Industry skills and experience
3 to 5 years of experience performing a business analyst role supporting State Medicaid and MMIS, or similar health care business and system in one or more of the following functional areas:
Provider management
Member (recipient) eligibility and enrollment
Claims and encounters
Benefit plan administration
Service authorization
Financial services
Decision support system/data warehouse
Pharmacy benefit management
Program integrity and utilization management
Knowledge, Skills and Abilities »

Excellent interpersonal communication skills
Excellent organization and time management skills


WHAT YOU’LL DO:

Job Responsibilities »

Reviews, analyzes, and evaluates business systems and user needs
Formulates systems to parallel overall business strategies
Familiar with industry standards, current and emerging technologies, and business process mapping, and reengineering
Prepares solution options, risk identification, and financial analyses such as cost/benefit, ROI, buy/build, etc.
Develops RFPs
Relies on experience and judgment to plan and accomplish goals
Independently, performs a variety of complicated tasks
Provide detailed status report updates to Project Manager