• Quincy, MA
  • $60–$65 Per Hour
  • Contractor
Today

Job Description

JOB TITLE: Business Analyst
JOB LOCATION: Quincy MA
WAGE RANGE*: $60-$65
JOB NUMBER:   ITS87-EHS-FY27– BUSINESS ANALYST – 006- PA

 

JOB DESCRIPTION:

 

The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing 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. 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 systems and excellent knowledge in the Claims Processing area including PA. Client, and Referrals. 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.

 

DETAILED LIST OF JOB DUTIES AND RESPONSIBLITIES:

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 back up to other business analysts as needed. 
Data query and analysis. 

 

Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities 

 

* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.

Numbers & Facts

LocationQuincy, MA
Job TypeContractor
Salary$60–$65 Per Hour

Qualifications

Preferred 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, or equivalent in healthcare administration setting 

Skills

  • Claims Processing
  • SQL
  • Analyst

Skills

  • Agile Programming Methodologiesunmatched
  • Business Analysisunmatched
  • Business Solutionsunmatched
  • Claims Processingunmatched
  • Community Supportunmatched
  • Employee Assistance Planunmatched
  • Federal Laws and Regulationsunmatched
  • Health Planunmatched
  • Healthcareunmatched
  • Medicaidunmatched
  • Operations Planningunmatched
  • Regulationsunmatched
  • Reimbursementunmatched
  • Requirements Managementunmatched
  • Software Designunmatched
  • Software Development Lifecycle (SDLC)unmatched
  • State Laws and Regulationsunmatched
  • Strategic Planningunmatched
  • Test Caseunmatched
  • Test Plan/Scheduleunmatched
  • Test Scenariounmatched
  • Test Strategyunmatched

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