Healthcare Business Analyst

Job Title : Senior Medicaid Business Analyst Government IT

Position Overview

Work on complex, change-oriented government healthcare IT initiatives involving Medicaid business processes, requirements analysis, and technology solutions.

This position offers the opportunity to contribute to large-scale healthcare IT projects involving Medicaid systems and member management. The Business Analyst will evaluate agency needs, analyze existing and future business processes, assess technical designs, and document requirements to support effective IT and non-technical solutions.

The role involves collaborating with business stakeholders, IT teams, vendors, government agencies, and other external organizations to translate business needs into functional requirements and support successful project implementation.

What You'll Do / Key Responsibilities

• Serve as a liaison between business program stakeholders and IT teams to identify and deliver technical solutions that meet business needs.

• Analyze business operations, identify strengths and weaknesses, and recommend opportunities to automate processes and functions.

• Evaluate and document current and future business processes.

• Support business process redesign and documentation for new technology initiatives.

• Translate high-level business requirements into functional specifications and manage changes to those specifications.

• Facilitate communication between business units and IT teams from initial requirements through final implementation.

• Elicit, analyze, specify, and validate business requirements.

• Document and analyze agency business processes and recommend improvements.

• Document and analyze data requirements and relationships.

• Participate in requirements management activities, including change control, version control, tracking, status reporting, and traceability.

• Provide requirements interpretation and guidance to technical and testing teams.

• Identify risks, issues, and action items and help develop potential solutions.

• Interact with internal and external stakeholders, including vendors, state and federal government agencies, providers, beneficiaries, and other organizations.

• Research and maintain business rules, requirements, and models in a repository.

• Provide recommendations regarding buy-versus-build decisions when appropriate.

• Perform other project-related duties as needed.

Required Qualifications

• Bachelor's degree in a technical, business, or healthcare field. Four or more years of experience in lieu of a degree is acceptable.

• 5 years of experience in government IT projects as a Business Analyst or in related duties.

• 5 years of experience eliciting, mining, and documenting business rules and processes.

• 3 years of Medicaid experience.

• Experience and ability to obtain business process and requirements information through interviews with business personnel and by analyzing laws, regulations, and policy documents.

• Knowledge of formal business process documentation.

Preferred Qualifications

• General subject matter expertise in Medicaid or other healthcare insurance, including project or operational experience.

• Medicaid Management Information System (MMIS) experience in project or operational environments.

• Experience with Microsoft Office Project / Project Server.

• Understanding of business modeling techniques, including graphical process flow software.

• Ability to effectively communicate with executive management, line management, project management, and team members.

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