Business Analyst FFS Medicaid Job


Navitus Health Solutions / Lumicera Health Services, is currently hiring on a vacant job post of Business Analyst FFS Medicaid based in Appleton WI 54913. Please read the job detail carefully before applying.

Job Title: Business Analyst FFS Medicaid
Company Name: Navitus Health Solutions / Lumicera Health Services
Job Type: Full Time
Job Location: Appleton WI 54913
Job Link Expiry: August 27, 2021

Job Detail

Job Summary:

The Business Analyst, Fee for Service (FFS) Medicaid “BA” will provide Business Analysis support for the development, implementation, and maintenance of various products within the FFS Medicaid Department. The initial product requiring support is the Prescriber Services Module. The scope of this module is to provide timely and accurate member and benefit information to prescribers. This module will also support workflows including submission of requests that support benefits and coverage, multiple interaction methods, and provider self-help tools. The BA will work with internal and external resources to assess business needs and translate those needs into process flows, detailed requirements, work breakdown structures, and other deliverables that support the development and implementation of a best in class tool.

The BA will apply proven communication, analytical, and problem-solving skills to help support development and product lifecycle activities.
Job Responsibilities:

Develop and maintain deep knowledge of FFS Medicaid needs, the competitive landscape, regulatory requirements, and related processes.
Collaborate with a wide range of internal and external business and technical resources.
Facilitate gap analysis and requirements gathering sessions for as-is and to-be of the products lifecycle.
Analyze use of products to understand behaviors and provide reporting as required.
With input from key stakeholders, prioritize needs of the product and communicate next steps for resolution.
Facilitate productive discussions to gather and document in both text and visual formats the expected functionality of the products.
Work with development teams to ensure functional and non-functional requirements are understood and implemented appropriately.
Perform testing and implementation activities to support these products.
Work with the team to identify, analyze, quantify, and mitigate risks.
Work with the project management office to utilize and enhance tools that support the requirements, development, and testing processes.
Manage issues/defects during the development process.
Collaborate with the training/development staff to deliver and update training documentation.
Create and update status reports that communicate the health of the products and related projects and enhancements.
Ensure our products and processes comply with relevant regulations.
Generate and suggest creative, considered ideas to support issue/problem diagnostics and brainstorming of potential solutions.
Perform other duties as assigned.
Essential Background Requirements:
Bachelor’s degree in Business Administration, Information Systems or related field and a minimum of 4 years of relevant experience.

Required Experience:
Documenting complex functional and non-functional requirements.
Participating in a development project team.
Experience with core software applications, including Microsoft Word and Excel.
Knowledge of Software Development Lifecycle (SDLC) methodologies.
Experience in roles like a Business Analyst, Business Systems Analyst, or Product Manager.

Preferred Experience:
Experience with customer facing web pages and/or portals.
Experience with Microsoft Visio, PowerPoint, Project and Team Foundation Server (TFS).
Healthcare industry practices and HIPAA knowledge.
Working experience with pharmacy benefits.
Experience in Mockups, Wireframing and Prototyping UI with UX principles.
Experience with multiple testing methodologies.
Experience with multiple (SDLC) methodologies and implementation of software solutions, systems, or products.
Business Analysis Certification (PMI, IIBA) or College level program.

Key Skills/Competencies:

Strong problem resolution and analytical skills.
Ability to be highly effective in a team-oriented environment.
Able to communicate effectively with members of interdisciplinary teams
Flexible and adaptable in regards to learning and understanding new technologies.
Keen attention to detail.
Ability to effectively prioritize and execute tasks in a high-pressure environment.
Ability to work both independently and in a team-oriented, collaborative environment.
On-call availability.
Some travel be required.

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