Job ID: NC-636846 (96190223)
Remote Healthcare BA with Agile, SOP/CMS/MMIS Certification documentation, Jira, SharePoint, Visio, Medicaid, HIT, Insurance, and Government experience
Location: Raleigh NC (NCDHHS)
Duration: 12 months
Positions: 4 (4/4)
Interview: Webcam Interview Only
Skills:
Experience working in a fast-paced (preferably Agile) IT environmentRequired7Years
Experience translating technical information into clear, concise documents to be used by technical and non-technical personnelRequired7Years
Experience documenting communications, minutes, agendas, and presentations for stakeholder groupsRequired7Years
Experience documenting system documentation, requirements, and release notesRequired7Years
Experience documenting status reports, standard operating procedures (SOP), policies and procedures, CMS documentation related to MMIS CertificationDesired7Years
Jira, SharePoint, VisioRequired7Years
Experience working in Medicaid, Health IT, Health Insurance environmentHighly desired7Years
State Government experienceNice to have7Years
Excellent communication skills, both verbal and writtenRequired7Years
This position is 100% remote and candidates across the US are welcome to apply.
The State of North Carolina Department of Health and Human Services (NCDHHS), Information Technology Division (ITD) seeks an experienced IT Business Analyst to join the Medicaid Enterprise Systems (MES) Program Office (PMO).
This Business Analyst will be joining the MES PMO’s Business Integration Strategy and Compliance team to support technical and business project teams and tasks. The Analyst will be a strong communicator and have the interpersonal skills needed to facilitate business process analysis, requirements gathering, and to create system and business process models to ensure effective implementations of Technology systems for Medicaid.
The role will report directly to the Product Portfolio Manager and will require experience with Waterfall and Agile Methodologies, a strong understanding of State and Commercial Medicaid Operations and Waiver Programs, and modular approaches to business integration, e.g Operations Management, Managed Care Organizations (MCO), Member Management, Finance Management, Provider Enrollment, Claim Adjudication, Reference, Decision Support Systems, Business Rules, Federal and State regulations, MITA 3.0 and related processes.
High-Level Roles and Responsibilities
Information Gathering
Identification of Key stakeholders
Identification and documentation of business objectives
Feasibility Study and Alternatives Analysis
Scope Definition
Definition of Delivery Plan
Definition of project and product requirements
Implementation and evaluation activities
Documenting use cases
Development of test cases for UAT
Essential Responsibilities:
Play a key role in supporting the Product Management team with analysis of business processes and recommend technology and process improvements to enhance efficiency, improve workflow and solve problems.
Interview and assess business personnel to research and develop business rules and requirements
Understand and articulate customer’s strategic direction and recommend technology solutions and business processes that align with that direction
Mining of laws, regulations, and policy documents to ensure compliance and performance standards adherence
Perform feasibility studies and alternative analysis
Gather business objectives and requirements, and translate them into functional/non-functional requirements and specifications
Gather information on changes to applications, assess those changes for items which affect business users and communicate changes to the users
Develop user stories, standard operating procedures (SOP), processes and test plans
Develop use cases and test cases
Assist business users with gaps in knowledge about IT systems and provide strong user support
Assist IT staff with gaps in knowledge about business requirements
Participate in Joint Application Design (JAD) sessions with the Product Management team and business stakeholders
Serve as team expert for functional business processes and the modernization of the MES
Clearly communicate complex information technology concepts and terminologies with a diverse group of end users, including Senior Leadership, IT Technical staff, Non-Technical staff, and vendors
Collaborate with various programs, resources, and stakeholders to identify best practices
Deliver a high level of customer service by responding to inquiries and resolving issues in a timely manner
Perform amongst multiple priorities and/or projects simultaneously without impact to quality of work
Familiar with Waterfall/Agile Methodology as it relates to completing sprints and working on tasks
Strong Understanding of State/Commercial Medicaid Operations and Waiver Programs
Must have strong analytical skills, the ability to think logically, and must be a self-starter able to research and find solutions independently
Strong user support and interpersonal skills are required
Must have experience in performing detailed analysis and creating documentation
Experience and ability to research and document business rules/requirements information by interviewing business personnel and by mining laws, regulations, and policy documents
Develop business rules and requirements via interviews with stakeholders, translation of governing documents and other means
Gather business requirements and translate them into functional/non-functional requirement/specifications developing user stories, acceptance criteria
Gather information on changes to applications, assess those changes for items which affect business users, and communicate changes to the users.
Assist business users with gaps in knowledge about it systems, and it staff with gaps in knowledge about business requirements.
Develop user stories, standard operating procedures, processes, and test plans
Participate in Joint Application Design (JAD) sessions with the Product Owners and business stakeholders
Serve as team expert with the modernization with the Medicaid Enterprise Systems and programs
Experience with business integration with a modular approach e.g. Operations Management, Managed Care Organizations (MCO), Member Management, Financial Management, Provider Enrollment, Claim Adjudication, Reference, Waiver Programs, Business Rules, Decision Support Systems, Federal and State regulations, MITA 3.0, and related topics