Business Analyst

Job#: 3055863
Job Description:
Apex Systems is a world class technology services business that incorporates industry or insights and experience to deliver solutions that fulfill our clients' digital visions. Apex has an opportunity for an Business Analyst. For applicants who are interested in this opportunity, send your updated resume to Gabriel Ortega, Account Manager, at .

Here are the details

Position: Business Analyst
Client: Commonwealth of MA (EHS)
Location: Quincy, MA (Hybrid)
Duration: Thru 6/30/27 (with possibility of extension)
Pay rate: $60-$65/hour
Program Overview:
The Massachusetts Executive O?ce of Health and Human Services (EOHHS) is the largest secretariat in MA state government, comprised of 16 agencies with over 23,000 employees statewide. EOHHS services directly touch the lives of slightly more than one in four residents in the Commonwealth - some of our most vulnerable citizens, including children, youth, adults, and elders.

EOHHS provides access to medical and behavioral health care, substance misuse treatment, long term services and support, and nutritional and ?nancial bene?ts to those with low incomes. We connect elders, individuals with disabilities, and veterans with employment opportunities, housing, and supportive services. We steer troubled youth towards a more successful path and do everything possible to keep children in our child welfare system safe. We support individuals who are developmentally disabled, mentally ill, blind, deaf or hard of hearing.

EOHHS is seeking to hire a Business Analyst- PA Prior Authorizations expertise to join our collaborative Medicaid Management Information System (MMIS) team. The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community.

BA should be well versed in health plan management, operational concepts, and the systems development lifecycle. Preference will be given to candidates with Medicaid systems experience well as claims and business knowledge of the MassHealth program. The BA must have sufficient knowledge of the entire scope of the health care business systems and excellent knowledge in the Claims Processing area including PA. PAS, and Referrals. to ensure that the development and testing work within their functional area is compatible with the MMIS system.

The BA's primary responsibility is to ensure that the implemented coding scheme meets the requirements of the business community and conforms to all applicable Federal and state laws. The BA will be called upon to act as an active member in all phases of the project including gap analysis, requirements gathering, design and development activities, documentation, testing, implementation, and stabilization. The BA will be expected to work independently, as part of a team as well as with business stakeholders so excellent communication and documentation skills is a requirement for this job.

Knowledge of Interoperability and X.12 emerging standards is beneficial. The primary work location for this role will be at 1 ENTERPRISE DRIVE, Quincy, Massachusetts 02171. The work schedule for this position is Monday thru Friday, 9:00AM to 5:00PM. This position is expected to follow a hybrid model of reporting to work that combines in-office workdays and work from home days as needed. Schedules are subject to change based on the operational needs of the business.

DETAILED LIST OF JOB DUTIES AND RESPONSIBLITIES

Lead and participate in joint application design session with stakeholders
Knowledge of SDLC and Agile methodology a plus
Develop test strategies, test scenarios and test cases based on written requirements
Execute and review test runs and sign off on testing components
Document requirements and participate in their development and testing
Support the development of end-user training materials and end-user documentation as required.

Possible oversight role during the stabilization phase of each release including the monitoring of system change execution, the development of system "fix" strategies and the close monitoring of the implementation of those strategies
Work with vendors to ensure business requirements are fully defined and tested. Communicate updates and changes to impacted stakeholders
Represent MMIS in business meetings as needed
Support program staff, vendors, and other stakeholder with MMIS related questions or concerns. Provide back up to other business analysts as needed. Data query and analysis.

Preferred Qualifications

Proficient in business analysis to support all stages of system project lifecycle
Competency in HIPAA claims and payment transaction processing
Strong data analysis skills- SQL proficient
Excellent communication and documentation skill
Excellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel; as well as interact with representatives from external agencies and companies.
Demonstrated ability to work independently, as well as within project teams, providing relevant system analysis services.
Highly analytical, with the ability to independently analyze, document findings and recommend solutions.

Education and Certifications

Bachelor's degree or higher in Business, IT or Healthcare administration with minimum 3 years' experience, or equivalent in healthcare administration setting
EEO Employer
Apex Systems is an equal opportunity employer.

We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law.

Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at or . Everforth Apex is a world-class IT services company that serves thousands of clients across the globe.

When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico. Everforth Apex uses a virtual recruiter as part of the application process. Click for more details.

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Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure.

Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA.

Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Everforth Apex team member can provide. Everforth Apex Systems is an equal opportunity employer.

We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law.

Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at or . Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

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