Medicaid Business Analyst Integrated Eligibility Systems // Local to NC

Engagement Type

Contract

Short Description

The Department of Health and Human Services (NC DHHS) is seeking a NC FAST Business Analyst to support development and implementation of the eligibility system, and lead business analysis activities and manage projects for Medicaid-specific solutions.

Complete Description

This position

requires experience with Agile Methodologies and knowledge of Medicaid program rules, policies, and procedures.











The NC FAST Business

Analyst is expected to participate throughout the Software Development Life

Cycle (SDLC) and responsibilities include but are not limited to:













- Lead Fit/Gap and JAD sessions

that map requirements to standard features and functions



- Conduct business,

operational, financial and comparative analysis used to recommend an

effective implementation approach.



- Execute data queries to

support reporting, analysis, data validation, troubleshooting, and testing



- Identify and document

business process, issues, value levers, metrics, and capabilities



- Develop functional and

technical design specifications, process flows, and system documentation

to ensure solutions meet business requirements, program objectives, and

established standards.



- Refine User Stories and

establish acceptance criteria identified for features



- Support system testing

activities, like developing test scenarios, participating in User

Acceptance Testing (UAT), and defect tracking



- Collaborate with business and

technical teams to identify training needs and support user readiness for

new or enhanced system functionality, business processes, and operational

procedures



- Participate in implementation

activities supporting the successful delivery of system enhancements and

operational improvements.



- Provide end-user support by

assisting with production support activities, responding to user

questions, and helping resolve system related issues.



Preferred Qualifications:

- Experience designing intuitive, user-centric UI/UX solutions

- Proficiency with SQL for querying and validating data

- Experience with Large Language Models (LLMs), including generative AI use cases

Required/Desired Skills

Skill	Required/Desired	Amount	of Experience
Strong Knowledge of the Software Development Life Cycle (SDLC), including Agile Methodologies	Required	5.0	Years
Knowledge of federal and state regulations related to Medicaid and other human services programs	Required	3.0	Years
Ability to analyze complex business processes and recommend technology solutions	Required	5.0	Years
Experience analyzing and creating user stories, process flows, use cases, mapping, and business requirements documentation	Required	5.0	Years
Experience with requirements traceability, testing support, and user acceptance testing (UAT)	Required	5.0	Years
Experience facilitating requirements gathering and Joint Application Design (JAD) sessions with Stakeholders, business and technical teams	Required	5.0	Years
Proficiency with business analysis and project management tools (e.g: JIRA, Confluence, Visio, Microsoft Office Suite)	Required	5.0	Years
Ability to work independently and manage medium complexity work efforts	Required	5.0	Years
Experience with NC FAST (Cram Software Suite) or similar integrated eligibility systems	Highly desired	5.0	Years
Experience with UI/UX design principles, and user-centric design	Highly desired	3.0	Years
SQL Experience for querying and validating data	Highly desired	3.0	Years
Experience with Large Language Models (LLMs), including generative Artificial Intelligence (AI) use cases	Highly desired	1.0	Years