Software Technology Inc.

Medicaid Business Analyst - Remote

Software Technology Inc. United States
Software Technology Inc.

Medicaid Business Analyst - Remote

Software Technology Inc. United States
2 months ago 95 applicants

See who Software Technology Inc. has hired for this role

Responsibilities

  • Must have very good understanding of the healthcare payer space with a minimum experience of 5 years in the domain.
  • Must have a prior experience in implementing/maintenance of commercial payer solution and/or Medicaid system
  • Must have good experience with claims processing concepts, along with the member enrolment and care management concepts.
  • Must be able to work with the clients to create/gather requirements and document them according to standards.
  • Must adhere to (or if needed, define) the processes for requirement solicitation, documentation and hand off.
  • Should work closely with the development team to elucidate the requirements, enable constructive discussions / brainstorming sessions to implement the best in class solution.
  • Should have basic understanding concepts like web services, relational databases etc.,
  • Should be able to run queries and perform basic system analysis, RCA etc.,
  • Should be able to create mapping documents for the various interfaces and include business rules, transformation and DB mapping.
  • Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos
  • Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks
  • Work Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product.

Preferred Skills

  • Capability to think out-of-the-box to create new solutions as needed.
  • Prior experience as a QA or Developer in a healthcare system would be helpful though not mandatory.
  • Ability to validate Test scenarios and test plans, test data.
  • Should be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)
  • Should have excellent communication (written and spoken ) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units.
  • Ability to assess current functionality available in a product vis a vis market trends, regulatory requirements to be implemented in future version of the product.
  • Ability to drive and share the requirements with Technical and Architects regarding product features to be implemented.

Optional Tools usage

  • MS Visio to define the different views like System, technical, functional and role based view.
  • Awareness defect tracking and version control tools like Jira, TFM, DevOps Azure
  • DB client to write data queries to validate data updated in the database table.

  • Seniority level

    Associate

  • Employment type

    Full-time

  • Job function

    Research, Analyst, and Information Technology

  • Industries

    Information Technology & Services

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