Job Description

Position Title: Business Analyst

Work Location: Jefferson City, MO

Job Description:

We are seeking a Senior Business Analyst with deep Medicaid domain expertise to lead complex initiatives. The Business Analyst (BA) will collaborate with various departments and stakeholders to gather, document, and analyze business requirements, processes, and workflows. They will translate these requirements into functional specifications for technology teams and work closely with project managers, developers, and testers to ensure successful project delivery. The BA will also be involved in identifying areas for process improvement and recommending solutions to enhance operational efficiency and effectiveness.

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The BA is responsible for the following:

• Facilitating requirements gathering activities, including requirements and design meetings with the customer to discuss system task requests (STRs), enhancements, and project assessment quotations (PAQs) requirements.
• Lead requirements definition for complex Medicaid initiatives, including eligibility, enrollment, claims, benefits, etc.
• Act as a subject matter expert on Medicaid policy, regulations, and operational workflows.
• Partner with program leadership to analyze impacts of CMS and state policy changes.
• Guide and mentor junior and mid-level business analysts.
• Eliciting, analyzing, and documenting business and functional requirements, issues, and resolutions.
• Collaborate with technology teams to design solutions that meet business needs.
• Propose innovative and practical solutions to address business challenges.
• Ensure that proposed solutions align with the organization's strategic goals and technological capabilities.

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• Serve as a liaison between business stakeholders and technology teams.
• Communicate complex technical concepts to non-technical stakeholders.
• Present findings, recommendations, and project updates to various audiences.
• Coordinating and facilitating the User Acceptance Test (UAT) with the business users and demo sessions and get sign-off on UAT.
• Creating new documentation or maintaining existing documentation on system changes.
• Analyzing and flagging potential issues and working with Technical Leads to manage any scope creep on the projects.
• Maintenance of reference files (Medical Criteria, Exception Control, etc) and rules authoring and testing within the Rules Management Application (RMA)

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Experience/Skills:

Qualified candidates will have the following:

• Bachelor’s degree in Business Administration or an equivalent in IT field preferred; demonstrated work experience may be considered in lieu of degree.
• Minimum of 8 years’ experience with customer relation activities, customer interface development, implementation, and maintenance of new or current policy including discussions with the customer about issues, desired outcomes, and solutions. Experience directly with Medicaid is required.
• Ability to independently lead and guide discussions with the customer, active listening skills, ability to facilitate decisions, attention to detail.
• Excellent writing, editing, and proofreading skills and command of the English language and grammar.

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• Extensive experience in gathering business/functional user requirements, creating Use Cases as per user requirements, and documenting business requirements in formalized documents.
• Demonstrate ability to relay information clearly and concisely between technical and non-technical staff.
• Solid understanding of all phases of Software Development Life Cycle (SDLC) methodology (such as requirement, analysis, design, data modeling, business process modeling, implementation, and deployment).
• Proficient in Microsoft Office including Word and Excel.