Business Analyst
Columbia, SC
12 Months
SCOPE OF THE PROJECT:
The Eligibility and Enrollment Member Management Project is one of the largest IT projects for the Client.
It is a multi-year effort to replace the client's aging Medicaid Eligibility Determination System and other member management applications with a with a multi-tier application environment that requires modern technologies, technical practices and substantial collaboration with a variety of stakeholders.
This system will primarily be a commercial-off-the-shelf (COTS) framework that will be configured/implemented by the client in partnership with Clemson University.
Client uses the social program management platform from IBM Cứram in the provision of services.
This software combines the advantages of commercial off-the-shelf software, an enterprise platform and service-oriented architecture with the business and technical flexibility required to implement solutions to meet agency objectives.
DAILY DUTIES / RESPONSIBILITIES:
A replacement Eligibility and Enrollment Member Management Project Business Analyst is responsible for evaluating 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.
The position will conduct and document gap analysis to determine if the Cứram software meets the business requirements.
The position will assist with user acceptance testing and identify solutions based on testing results.
The position will communicate concepts for both technical personnel and non-IT business users.
Duties include:
• 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 .
• Participating in standup of business operations supporting the Eligibility and Enrollment Member Management Project.
• Planning for, conducting, and reporting on testing and other quality assurance activities.
• Other duties as assigned.
Subject matter areas include member related eligibility determination, enrollment and disenrollment, eligibility inquiry, program policy, and client plan. Familiarity with the Affordable Care Act and impacts on Medicaid eligibility and member related processes is also beneficial.
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• Strong background and at least four years in social services and/or healthcare insurance operations (payer or provider side; government or commercial side).
• At least three years of experience in social services and/or healthcare insurance IT software/systems implementations
• Minimum of (3) years of experience in business application consulting, training or development.
• Experience in business process analysis (Use Cases and/or process flows) and mapping (Gap Analysis) techniques
• Ability to properly document business requirements and business rules.
• Ability to establish and maintain effective working relationships with customers
• Ability to organize, prioritize and follow complex and detailed procedures
• Capable of performing job with minimal supervision
• Superb written and oral communication skills, including the ability to give presentations to executive management. Strong proficiency in English is required
• Impeccable integrity. This project will have very high visibility and will impact significant expenditures of public funds. Candidates must be confident with their abilities to make correct decisions and the courage to speak out when necessary.
• Willingness and ability to effectively engage with people and organizations on a continuous basis.
PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• Experience in Cứram social program management platform
• Medicaid eligibility system/business operations experience
• Knowledge and experience with the BizAgi BPM tools
• Knowledge of healthcare insurance principles and processes
• Medicaid operations experience
• Public sector and/or academic environment experience is a plus
• Medicaid Management Information System (MMIS) experience
REQUIRED EDUCATION:
Bachelor's degree in a technical, business, or related field.
| Category | Name | Required | Importance | Level | Last Used | Experience | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Documentation/Language | Business Process Modeling (BPM) | No | 2 | Advanced | Within 1 Year | 1 - 2 Years | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Miscellaneous | Ability to analyze and document, business and system processes using various methods and tools. | Yes | 1 | Expert | Within 6 Months | 2 - 4 Years | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Miscellaneous | Mapping business process flow | Yes | 2 | Advanced | Within 1 Year | 1 - 2 Years | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| MMIS - Medicaid Management Informaiton System | Healthcare Insurance IT software/systems implementations | Yes | 1 | Expert | Within 6 Months | 2 - 4 Years | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| MMIS - Medicaid Management Informaiton System | Medicaid eligibility system/business operations | No | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Programming Languages | BizAgi BPM Tools | No | 4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Specialties | Business Analysis experience to include data flow diagrams, requirements specifications, use case scenarios, and acceptance testing. | Yes | 1 | Expert | Within 6 Months | 2 - 4 Years | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Specialties | Public sector and/or academic environment | No | 5 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
• Minimum of (3) years of experience in business application consulting, training or development.
Regards,
Jyothi Basu
Key Business Solutions, Inc.
|| Email: basu@keybusinessglobal.com || Office: 916 646 2080 Ext 219 || Fax: 916 646 2081
Note: This email is not intended to be a solicitation. Please accept our apologies and reply in the subject heading with REMOVE to be removed from our Mailing list
--
Request: Please do not send any messages to this group which are nor related to IT staffing.
You received this message because you are subscribed to the Google
Groups "Technical Recruiters" group.
To post to this group, send email to
technical-recruiters@googlegroups.com
To unsubscribe from this group, send email to
technical-recruiters+unsubscribe@googlegroups.com
For more options, visit this group at
http://groups.google.com/group/technical-recruiters?hl=en?hl=en
---
You received this message because you are subscribed to the Google Groups "Technical Recruiters" group.
To unsubscribe from this group and stop receiving emails from it, send an email to technical-recruiters+unsubscribe@googlegroups.com.
To post to this group, send email to technical-recruiters@googlegroups.com.
Visit this group at http://groups.google.com/group/technical-recruiters.
To view this discussion on the web visit https://groups.google.com/d/msgid/technical-recruiters/CA%2ByG-GkphtsV4asANJE%3DwZTJxDcXZ%2Bkfb-bD3hh%2Br3XTJ3%2B%3DkQ%40mail.gmail.com.
For more options, visit https://groups.google.com/d/optout.
0 comments:
Post a Comment