Job Description

IN-PERSON INTERVIEW AT COLUMBUS, OH

Position: Business Analyst with Medicaid

Location: Columbus, OH

Duration: 6 Months

POSITION SUMMARY: The Business Analyst primarily functions to review, analyze, and evaluate user requirements and system functionality. Tasks will include performing detailed requirements analysis, documenting processes, and validating system performance against requirements. The Business Analyst should have a natural analytical way of thinking and be able to explain difficult concepts to non-technical users. Medicaid program and system experience are highly desired.

JOB RESPONSIBILITIES:

Evaluating business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutions.

Work closely with clients, technicians, and managerial staff.

Perform user acceptance testing.

Contribute expertise in provider services-related business functions, including advanced knowledge in the review and approval of provider eligibility

Lead/support requirements and design sessions

Analyze, document and clarify system business requirements

Create Functional Design Documents for system enhancements

Manage scope and implementation schedules for product releases

Support federal system certification

Execute system tests before User Acceptance Testing

Maintain system documentation

Interact daily with state clients and internal customers regarding system status and day-to-day processing

Support user staff with analysis and resolution of issue reports

Analyze complex data and measure outcomes

Coordinate with technical staff to sufficiently understand technical requirements, specifications, and processes

Interact with company and client managers and perform cost/schedule monitoring

Other duties as assigned by management

EDUCATION AND EXPERIENCE REQUIREMENTS:

A minimum of a bachelor s degree or four years related work experience

Two years of direct experience as a business analyst in design, development, testing, and implementation of software

Knowledge of Medicaid and provider enrollment business processes

Knowledge of system design and development process

Strong understanding of system testing metrics, best practices, and methodologies

Experience with EDI X12 transactions preferred (270 Member Eligibility, 278 Prior Authorization, and 837 Claims Submission, 276/277 Claims Adjudication)

Experience with Provider screening, certification, and credentialing activities and interfaces preferred

Experience working with State government clients in the Medicaid systems domain preferred

Strong interpersonal skills

Excellent organizational, interpersonal, verbal, and written communication skills

Ability to perform comfortably in a fast-paced, deadline-oriented work environment

Ability to successfully execute many complex tasks simultaneously

Ability to work as a team member, as well as independently