Location: Madison,WI
Duration: 6+ Months
Description:
KEY SKILLS REQUIRED:
§ Provider management
§ Member (recipient) eligibility and enrollment
§ Claims and encounters
§ Benefit plan administration
§ Service authorization
§ Financial services
§ Decision support system/data warehouse
§ Pharmacy benefit management
§ Program integrity and utilization management
Certified Business Analysis Professional (CBAP) preferred
Position Description
Services to be performed include acting as business analyst to facilitate, elicit, document, validate, and test the business requirements for the takeover and enhancement of the Medicaid Management Information System (MMIS) and fiscal agent contract.
· General skills and experience:
o Excellent interpersonal communication skills
o Excellent organization and time management skills
o Providing detailed status report updates to Project Manager
o Experienced with business process reengineering and identifying new applications of technology to business problems to make business more effective
o Experience with business analyst and testing industry standards, current and emerging technologies, business process mapping, and reengineering
· Business Analyst skills and experience:
o Facilitation
§ Efficiently plan and execute meetings
§ Establish agenda and set meeting objectives
§ Document and distribute meeting decisions and action items
§ Timely follow-up on all action items
§ Document issues and providing to Project Manager
§ Formulate systems to parallel overall business strategies
§ Prepare Risk Identification
§ Prepare Fiscal Analysis (i.e. cost/benefit, ROI, buy/build)
§ Relies on experience and judgment to plan and accomplish goals. Independently, performs a variety of complicated tasks. A wide degree of creativity and latitude is expected.
o Elicitation
§ Efficiently and effectively divine business requirements from business area staff
o Documentation
§ Use established business requirement templates
§ Produce clear and concise requirements documentation
§ Create traceability to RFP requirements
o Validation
§ Effectively and efficiently review and validate documented business requirements with business area staff and owners
§ Review, analyze, and evaluate business systems and user needs
o Testing
§ Document clear test plans and create test cases that are traceable to business, functional, non-functional, and transition requirements
§ Effectively and efficiently executes test plan and document test results
§ Document defects and collaborates with other business analysts and developers to resolve and execute regression testing
§ Facilitate review of test results with project stakeholders
· Industry skills and experience
o 3 to 5 years of experience performing a business analyst role supporting State Medicaid and MMIS, or similar health care business and system in one or more of the following functional areas:
§ Provider management
§ Member (recipient) eligibility and enrollment
§ Claims and encounters
§ Benefit plan administration
§ Service authorization
§ Financial services
§ Decision support system/data warehouse
§ Pharmacy benefit management
§ Program integrity and utilization management
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