Overview

Job Description:
Essential Job Functions

  • During the pre-implementation phase, candidate can lead business requirements review/gap analysis with the client.
  • Generate and manage product Change Requests. Work with the Product Owner to clarify business requirements, assumptions and acceptance criteria.
  • Act as the central point of contact for the client team for business questions and issues.
  • During the implementation phase, work with client team to configure and test the system
  • Learn new features introduced with 3x year product releases u2013 work with clients to configure them appropriately
  • Provide client training and product demos, as required
  • Participate in client meetings, as requested.
  • Support integration and user acceptance testing primarily by triaging and managing defects
  • Review and contribute to product documentation including release notes, user and configuration guides
  • Develop additional user documentation, as required

Skills Include:

  • Ability to communicate effectively with business users, both verbally and in-writing
  • Ability to schedule and run client meetings, as required
  • Ability to research questions and issues that arise by using existing documentation and hands-on troubleshooting
  • Ability to manage priorities and deliverables
  • Ability to use resources effectively to triage defects
  • Comfortable doing presentations and product training sessions
  • Ability to apply MITA 3.0 framework

Basic Qualifications

  • Bachelor’s degree or equivalent combination of education and experience
  • Bachelor’s degree in business administration, information systems, or related field preferred
  • Nine or more years of business analysis experience
  • 3+ years of experience with end-to-end Claim business processes, including EDI and Financial functions required
  • Understanding and Application of MITA 3.0 framework, particularly those areas that a Medicaid claims processing system includes and the dependencies among them
  • Experience with problem analysis and resolution
  • Implementation of different Medicaid delivery models (FFS, MCO, PCCM, Medical Home, etc.)
  • Experience with requirements writing, validation and tracking
  • 3+ years of experience working with State customers, DDI teams and Account teams
  • Experience using ALM for requirements tracing
  • Experience working with the interface of information technology with functional groups within an organization
  • Experience working with business processes and re-engineering
  • Experience working with computer programming concepts and basic language

Other Qualifications

  • Implementation or Maintenance of a Medicaid Claims Processing Module or System, Health PAS Administrator/QNXT preferred
  • 3+ years of experience with configuration of a claims processing module, Health PAS Administrator/QNXT preferred
  • Project management experience is a plus
  • Strong interpersonal skills to interact with customers and team members
  • Good presentation skills to present to management and customers
  • Good leadership skills to coordinate, oversee and lead team/project members
  • Good personal computer and business solutions software skills
  • Ability to work in a team environment
  • Willingness to travel

Work Environment

  • Office environment
  • Remote work may be considered
  • Other US locations may be considered

Tracking

To Apply: https://www.jobg8.com/Traffic.aspx?YoougGHUlIBAABABzgm4qgn