We have a requirement with our direct client for a Business Analyst, Minneapolis, MN

We have a requirement with our direct client for a Business Analyst

Position: Business Analyst

Duration: 5 months  

Location: Minneapolis, MN

Submission Deadline: URGENT

 

Please include resume, rate, current location, and contact info all in one email. This information is vital to our screening process and prompt selection of your candidates for submittal to our direct clients.      

 

 

Experience/skills:

• Create Provider Team roles and responsibilities, accountabilities, staffing structure and skill set requirements
• Provide Medicaid Subject Matter Expertise to ensure the compliance to industry standards and government regulatory compliance requirements.
• Complete "cleaning" of data within the Provider File/Provider Base.  Run comparisons to ensure the validity and integrity of data consistency with the PIFs data, which is the "source of truth".
• Build Process Flows and Procedures, Review Existing Documentation and Define the Gaps.  Complete updates to existing documentation to fill gaps. 
• Create new Future State Documentation to ensure consistency, high-quality and maintenance of the processes/process flows/data, etc

• Create the Post-Implementation Provider Data/File support plan.  Define the staffing requirements, positions descriptions, reporting structure, accountabilities and resource recommendations (including the financial implications).
• Accountable for all facets of aligning the BRD and BSD Documentation (Design) and acts as a Liaison between the Business, Technology and Vendor (TMG)

• Create and deliver UAT test scenarios and future state recommendations and vendor/management oversight toolkit.  
• Focus on the implementation of healthcare operations software solutions with TMG offerings. Research and develop processes for implementation and oversight.
• Identify, analyze, document, communicate and validate requirements for changes to our core and supporting software products and business processes.
• BSA with the customer, development team and other functional areas, as appropriate; to plan, define, schedule, document and coordinate systems development/enhancement efforts to produce effective technology and/or business solutions that meet the current and future needs of the customer and organization.
• Conduct business process analysis and requirements gathering.
• Provide support to IT project team members to build a Data Dictionary, as needed.
• Define and analyze detailed business, functional and system requirements/designs to produce technical and/or business solutions. Recognize current needs and envision future needs; build future state process improvement opportunities and post-implementation support plans
• Consider all aspects; break down tasks into all possible components and scrutinize tasks at the lowest level; be aware of each step in the process or application; gather complete information; track information and follow through.
• Act as a resource to lead and/or conduct various testing activities and/or quality reviews, assist in design, analyze usability and workflow, analyze current and future state processes, coordinate interdependencies and resolve issues, and ensure application functionality meets expectations. Participate in the implementation and/or conversion process for new/enhanced systems and/or processes.   
• Provider File/Base:  Support the creation of the Front End Approach, the Back End Approach, Intake Process for new contracted providers and contribute to building the Migration Plan backwards to build the production File (Provider File)
• Prior experience with outsourcing Claims Processing and experience working with TMG is preferred.
• Provide support, as necessary, for internal audit and impacts related to Medicaid Claims Processing outsourcing.
• Understanding of data warehouse principles and structure

• Strong analytical and technical skills
• Good verbal and written communication
• Prior experience with business office back office functions, government programs and/or the Facets product preferred

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