Healthcare Business Analyst – C2C JOBS – urgent required

Job Role: Lead Healthcare Business Analyst
Duration: 6+ months
Location: 100 Hancock Street Quincy, Massachusetts 02171 (Hybrid)
Local To MA with DL

Work Authorization: No H1B/OPT/CPT
Client: Executive Office of Health and Human Services (EOHHS)
Must Have:

• Senior level resource
• Previous Claims and Provider experience
• Medicaid experience
• Healthcare background
• Worked in Hospital setting and understands processes and regulations
• The PM aspect of this role will be someone who can come up with the Scope of the work when they aren’t given a ton of information, get the business case and “know what do we need to support them”
• Person can work with executives and handle themselves professionally

Job Description
The Business Analyst (BA) Project Manager lead will work on our established Provider Reimbursement Claims processing and Member Managed Care cross 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.
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 health care business to ensure that the development and testing work within their functional area is compatible with the 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. The BA will be expected to work independently, as part of a team as well as with business stakeholders so excellent communication and documentation skills is a requirement for this job. This position will also lead and perform Project Management functions, and serve as the primary contact for critical IT initiatives and lead project management projects from start to finish, including conflict resolution, risk mitigations, ensuring alignment with MMIS standards and delivery of Business results.
The primary work location for this role will be at 100 Hancock Street Quincy, Massachusetts 02171. The work schedule for this position is Monday thru Friday, 9:00AM to 5:00PM. This position would be expected to follow a hybrid model of reporting to work that combines in-office workdays and work from home days as needed. Schedules are subject to change based on the operational needs of the business.

Must Haves:
• Senior level resource
• Previous Claims and Provider experience
• Medicaid experience
• Healthcare background
• Worked in Hospital setting and understands processes and regulations
• The PM aspect of this role will be someone who can come up with the Scope of the work when they aren’t given a ton of information, get the business case and “know what do we need to support them”
• Person can work with executives and handle themselves professionally
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
• Ensure alignment and use of MMIS SDLC or Agile methodology and operating practices.
• Ensure all project initiatives have a project plan and traceability, risk/issues list, and project MS SharePoint documentation site.
• Ensure coordination of resource support across MMIS Business Analysis, SQA, and Development teams; as well as peer managers to align with capacity planning practices.
• Prepare and distribute weekly project status reports on progress against planned, risks, and mitigation strategies.
• 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 back up to other business analysts as needed.
• Data query and analysis.

Qualifications:
• Proficient in business analysis to support all stages of system project lifecycle
• Competency in HIPAA claims and payment transaction processing
• Strong data analysis skills- SQL proficient
• 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 in Business, IT or Healthcare administration with
minimum 3 years’ experience in large healthcare setting.

Thanks and Regards!!

Rashmi Kumari ||Technical Recruiter
Anvik Technologies| Wilmington, DE