IT Healthcare Consultant/Business Analyst Govt Exp Medicaid Eligibility Use Cases business rules

Profile

SC-10712-1
Specific duties include: Performs systems analysis activities for the Production MMRP systems.
Gathers and develops business requirements and acceptance criteria for Production defects and enhancements
Develops DDI artifacts compliant with established processes and rules
Communicates with business owners, contractor analysts, and developers as needed throughout the SDLC
Reviews QA and UA test cases and provides feedback
Advises the DDI Manager on operational impacts, technical analysis, and other concerns
Acts as a subject matter expert (SME) for the Production MMRP systems including IBM Cram and associated processes.
Attends and contributes to meetings regarding the existing and planned functionality of the MMRP systems
Reviews business, functional, and technical requirements/documents and provides feedback
Maintains knowledge and appropriate understanding of replacement eligibility systems through training, documentation review, and other means
Communicates operational and technical concerns/observations to appropriate parties
Attends assigned trainings and performs other duties as assigned
IT Healthcare Consultant/Business Analyst:
Required skills: 3 years of experience in government IT projects as a business/systems analyst or performing related duties
3 years of experience gathering and documenting business rules, requirements, and processes
2 years of Medicaid Eligibility or other social services experience
Excellent written and verbal communication skills
Ability to develop well-written Use Cases consumable by business and technical staff
Ability to gather business rules, requirements, and processes by interviewing business users and stakeholders and mining from documents, federal/state rules and regulations, etc.
Knowledge of formal business process documentation including best practices.
Understanding of business process modeling, including ability to utilize graphical process modeling tools
Ability to effectively and professionally communicate with staff at all levels including executive leadership, middle management, front-line supervisors, and front-line workers
Required education: Bachelor's degree in a technical, business, or healthcare field.
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