Project Manager/Business Analyst

Job Description:

Must have MMIS experience

Client is seeking a Business Analyst Business Analyst to join their Medicaid Management Information System (MMIS) team. The Business Analyst (BA) will work on their established Member, Managed care, and/or Claims and Provider Reimbursement functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community. This candidate should be well versed in health plan management, operational concepts, and the systems development lifecycle.  

DETAILED LIST OF JOB DUTIES AND RESPONSIBILIITIES:

• Lead and participate in joint application design session with stakeholders
• Knowledge of SDLC and Agile methodology a plus
• Develop test strategies, test scenarios and test cases based on written requirements
• Execute and review test runs and sign off on testing components
• Document requirements and participate in their development and testing
• Support the development of end-user training materials and end-user documentation as required end-user- documentation as required.
• Possible oversight role during the stabilization phase of each release including the monitoring of system change execution, the development of system “fix” strategies and the close monitoring of the implementation of those strategies
• Work with vendors to ensure business requirements are fully defined and tested.
• Communicate updates and changes to impacted stakeholders
• Represent MMIS in business meetings as provide back up to other business analysts as needed.
• Data query and analysis. Preferred Qualifications: Ÿ Proficient in business analysis to support all stages of system project lifecycle
• Competency in HIPAA claims and payment transaction processing Ÿ Strong data analysis skills- SQL proficient Ÿ Excellent communication and documentation skill
• Excellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel; as well as interact with representatives from external agencies and companies.
• Demonstrated ability to work independently, as well as within project teams, providing relevant system analysis services.
• Highly analytical, with the ability to independently analyze, document findings and recommend solutions.

Education and Certifications:

• Bachelor’s degree or higher with minimum 3 years’ experience, or equivalent in healthcare needed
• Support program staff, vendors, and other stakeholder with MMIS related questions or concerns