Curam BA with rules, Medicaid Eligibility, insurance, laws/regulations/policies mining, modeling and documentation experience

Request ID: BL-8922-1 (97591001)

Curam BA with rules, Medicaid Eligibility, insurance, laws/regulations/policies mining, modeling and documentation experience

Location: Columbia SC
Duration: 12+ Months
Hrs/Wk: 40.00
Remote Work Availability: 25%

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• 2 years of business analysis experience IBM Cúram software
• 5 years’ experience in government IT projects as a business analyst or related duties
• 5 years’ experience eliciting, mining, and documenting business rules, processes
• 2 years Medicaid Eligibility or other healthcare insurance experience
• Superb written and oral communications skills, including the ability to write requirements and Use Cases.
• Experience and ability to obtain business processes and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents.
• Knowledge of formal business process documentation.
• Understanding of business modeling techniques, including the use of graphical process flow software
• Ability to effectively communicate to executive management, line management, project management, and team members.

REQUIRED EDUCATION:
Bachelor’s degree in a technical, business, or healthcare field.

Experience
Education Bachelor’s degree in a technical or business field Yes 1
Miscellaneous business modeling techniques Yes 1
Miscellaneous experience in government IT projects as a business analyst or related duties Yes 1 2 – 4 Years
MMIS – Medicaid Management Informaiton System Medicaid eligibility system/business operations Yes 1 2 – 4 Years
Software Framwork IBM Curam software experience Yes 1 2 – 4 Years

Objectives to Be Fulfilled by Candidate:
The principal duties of this position are to evaluate agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non-technical solutions. The BA will provide detailed analysis and document business processes and requirements.

Specific duties include, but are not limited to:
• Serves as a liaison between the business programs community and the IT organization in order to provide technical solutions to meet user needs.
• Possesses expertise in the business unit(s) they support, as well as, an understanding of the IT organization’s systems and capabilities.
• Analyzes business partner’s operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions.
• Assists in the business process redesign and documentation as needed for new technology.
• Conducts efficient requirement gathering session with multiple stakeholders to capture business requirement.
• Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications. Educates the IT organization on the direction of the business.
• Negotiates agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation.
• Possesses an understanding of technological trends and uses this knowledge to bring solutions to business units supported to enhance the enterprise’s competitive edge.
• Requirements development execution, including the elicitation, analysis, specification and validation.
• Documenting and analyzing agency business processes and recommending improvements.
• Documenting and analyzing data requirements and relationships.
• Participating in the requirements management processes, including change control, version control, tracking and status reporting, and traceability.
• Providing requirements interpretation and guidance to technical and test teams.
• Proactively identifying risks, issues, and action items leading to possible solutions.
• Interacting with internal and external organizations (i.e. vendors, State and Federal government agencies, State providers and beneficiaries, and other stakeholders).
• May make recommendations for buy versus build decision.
• Research business rules, requirements, and models.
• Maintain business rules, requirements, and models in a repository.
• Other project-related duties.

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