Business Analyst business rules/processes Use Cases State/Commercial Medicaid Claims

Profile

SC-10499-1
Specific duties include, but are not limited to: Familiar with Agile Methodology as it relates to completing sprints and working on tasks
Develop business rules and requirements via interviews, translation of governing documents and other means
Conduct JAD Sessions with the Product Owners and business owners
Must have experience in performing detailed analysis and creating documentation
Strong user support and interpersonal skills are required.
Must have strong analytical skills, the ability to think logically, and must be a self-starter able to research and find solutions independently
Serve as team expert on Claim Adjudication, Reference, Waiver Programs, Business Rules, Provider Enrollment, Fund Codes, MITA 3.0, and related topics
Assist other team members in performing business rules and requirements
Research and maintain business rules and requirements
Business Analyst:
Required skills: 8 years' experience in government IT projects as a business analyst or related duties
6 years' experience eliciting, mining, and documenting business rules/processes
Strong analytical skills
Strong Understanding of State/Commercial Medicaid Claims, Claims Payment Cycle, Waiver Programs and Reference
Ability to effectively communicate to executive management, program management, project management, and team members
Experience and ability to obtain business rules and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents
Superb written and oral communications skills, including the ability to write requirements and Use Cases.
MMIS experience (project or operations)
Required education: Bachelor's degree in a technical, business, or healthcare field or equivalent experience.
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