Healthcare Business Analyst

Position: Business Analyst
Location: Quincy, MA (Hybrid)
Duration: 12+ Months

Job Description:

The Business Analyst (BA) will work on our established Claims/Provider and
Reference 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 provider community. The BA should be well-versed in health plan
management, operational concepts, and the systems development lifecycle.
Preference will be given to candidates with Medicaid systems experience well
as claims and business knowledge of the MassHealth program. The BA must have
sufficient knowledge of the entire scope of the healthcare business to
ensure that the development and testing work within their functional area is
compatible with the Medicaid Management Information System (MMIS) system.
The BA's primary responsibility is to ensure that the implemented coding
scheme meets the requirements of the business community and conforms to all
applicable Federal and state laws. The BA will be called upon to act as an
active member in all phases of the project including gap analysis,
requirements gathering, design and development activities, documentation,
testing, implementation, and stabilization.

DETAILED LIST OF JOB DUTIES AND RESPONSIBILITIES:

*       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.

*       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 needed.

*       Support program staff, vendors, and other stakeholder with
MMIS-related questions or concerns.

*       Provide backup to other business analysts as needed.

*       Data query and analysis.

Preferred Qualifications:

*       Proficient in business analysis to support all stages of the system
project lifecycle.

*       Competency in HIPAA claims and payment transaction processing

*       Strong data analysis skills- SQL proficient

*       Excellent communication and documentation skills

*       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 in Business, IT, or Healthcare
administration

*       Minimum 3 years' experience, or equivalent in a healthcare
administration setting

Thanks & Regards,