Business Analyst ( Medicaid ) - Immunization Registry

Job description

Summary

Your role in our mission

Essential Job Functions

• Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities.
• Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates.
• Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design.
• Assists in developing and modifying systems requirements documentation to meet client needs.
• Participates in meetings with clients to gather and document requirements and explore potential solutions.
• Executes systems tests from existing test plans. Assists in analyzing test results in various phases.
• Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project.

What we're looking for

Job Description

• 5 or more years of experience in a relevant Business Analyst position with 3 or more years of Medicaid and Medicare experience preferred
• Knowledge of computer programming concepts such as configuration, development and batch processing
• Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools
• Strong client communication skills translating client needs to actionable objectives
• Strong analytical and business process re-engineering skills
• Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel
• A leader who motivates others to action and communicates key technical ideas in a digestible way
• Experience writing SQL queries for data analysis. Experience working with Medicaid/MMIS systems.
• Support the integration of immunization registries with Electronic Health Records (EHRs), Health Information Exchanges (HIEs), and Medicaid Management Information Systems (MMIS).
• Conduct gap analysis to identify system enhancements and compliance requirements for immunization data reporting.
• Gather, analyze, and document business and functional requirements for immunization registry solutions.
• Collaborate with Medicaid agencies, providers, and IT teams to design and implement data exchange processes.
• Define data standards and validation rules for immunization records exchanged between Medicaid systems and registries.
• Ensure compliance with Health Level Seven (HL7) standards for immunization data exchange (e.g., HL7 etc.,).
• Support data mapping, transformation, and validation between immunization registries and Medicaid systems.
• Act as a bridge between business users, IT teams, and Medicaid stakeholders to ensure clear communication of immunization registry needs.
• Provide training and support to Medicaid providers, payers, and public health teams on immunization registry usage and reporting.
• Preferred experience includes DDI (Design, Development, and Implementation) and operations phases.
• Experience processing Medicaid claims and ability to troubleshoot adjudication results.
• Demonstrated aptitude for learning new technologies and keeping current with industry best practices.
• Experience with Requirement Traceability Matrices.
• Ability to multi-task and maintain organization in a fast-paced environment.
• Ability to create and maintain highest levels of confidentiality when dealing with proprietary or private information.

What you should expect in this role

Fast-paced, challenging and rewarding work environment.

Work life balance.

Hybrid Office environment.

Will require late evening work to overlap US work hours.