Offer summary

Qualifications:

Bachelor’s degree in business, information systems, Public Health, or a related field., 5+ years of healthcare business analysis experience and technical analysis in healthcare (payor)., 3+ years of experience with Medicaid programs and knowledge management tools like Microsoft 365 and JIRA., Strong communication skills and ability to interpret Medicaid policy into business requirements..

Key responsibilities:

Support business initiatives through data analysis and writing business requirements.

Conduct user acceptance testing of various systems related to healthcare.

Lead communication with customer leadership and manage knowledge within the organization.

Translate federal and state Medicaid policy into actionable business and technical requirements.

Job description

Required Qualifications:

5+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems.
5+ years of experience serving as a technical analyst in healthcare (payor).
3+ years of experience working specifically with Medicaid programs, MMIS/MES or related systems.
3+ years of experience in knowledge management creating, organizing, sharing, and optimizing knowledge within an enterprise organization using tools such as Microsoft 365, AI-enabled search, MS SharePoint/Teams, and JIRA.
Proven ability to lead communication (written and verbal) at the customer leadership level.
Knowledge of health insurance, HMO, and managed care principles including Medicaid and Medicare regulation.
Ability to interpret federal and state Medicaid policy and translate it into business and technical requirements.
Effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision.
Bachelor’s degree in business, information systems, Public Health, or a related field

Preferred Qualifications:

Master’s Degree in related field is preferred.
5+ years of experience as a technical analyst in payor healthcare.
3+ years of experience writing SQL using large-scale database management tools.
3+ years of experience working with State Medicaid and CHIP agencies including federal reporting (CMS 64/21, TMSIS, PERM).

Required profile