We are seeking an experienced Business Analyst with strong Medicaid Claims Processing expertise to support the analysis, documentation, testing, and implementation of system enhancements. The ideal candidate will serve as a liaison between business stakeholders and technical teams, translating business needs into detailed requirements and ensuring successful delivery throughout the Software Development Life Cycle (SDLC).
This role requires extensive experience evaluating business objectives, analyzing operational procedures, identifying alternative solutions, conducting cost-benefit analyses, and recommending system improvements. The Business Analyst will work closely with subject matter experts, developers, project managers, and other stakeholders to support application development and enhancement initiatives.
Key Responsibilities Business Analysis & Requirements Management (30%) - Analyze business objectives, operational procedures, and system-related challenges to identify effective solutions and improvement opportunities.
- Conduct requirements gathering sessions with business users and non-technical Subject Matter Experts (SMEs).
- Document business requirements, use cases, user stories, workflow diagrams, process flows, acceptance criteria, and functional specifications.
- Evaluate existing business processes and assess the impact of proposed modifications and enhancements.
- Prepare detailed descriptions of user needs, program functionality, and development requirements for new or modified applications.
- Assist in the development of project documentation in accordance with HHSC/DIR standards and requirements.
- Support the creation and maintenance of online help documentation and user support materials.
- Serve as a communication bridge between technical and non-technical stakeholders throughout the SDLC.
Design Compliance & Documentation (5%) - Ensure system designs and proposed solutions comply with HHSC standards, policies, and architectural guidelines.
- Review system capabilities, specifications, and constraints to determine the feasibility of requested changes within existing environments.
Testing & Quality Assurance (25%) - Develop and execute test plans, test cases, and test scripts for assigned enhancements and projects.
- Generate and manage test data required for validation activities.
- Analyze test results, identify defects, and support troubleshooting and resolution efforts.
- Perform functional, integration, and user acceptance testing activities.
- Apply established software development and testing standards to ensure application quality, maintainability, and reliability.
Project Communication & Status Reporting (25%) - Provide regular status updates regarding enhancement activities, project milestones, and issue resolution.
- Escalate critical issues impacting system performance or service delivery to management and technical leadership.
- Participate in project meetings and collaborate with developers, database administrators, project managers, and business stakeholders.
- Maintain accurate project updates and documentation within Azure DevOps and other project tracking tools.
- Communicate system functionality, data collection processes, and technical information to both technical and non-technical audiences.
- Deliver presentations and facilitate discussions with internal teams, governmental agencies, and external service providers.
Knowledge Transfer & Continuous Improvement (15%) - Facilitate knowledge sharing to reduce single points of failure and improve organizational readiness.
- Develop and maintain documentation related to system architecture, workflows, dependencies, and operational procedures.
- Conduct individual and group knowledge transfer sessions.
- Provide recommendations regarding implementation strategies, system improvements, and technical solutions.
- Keep management and stakeholders informed of project progress, risks, and recommended actions.
Required Qualifications - Minimum 5 years of experience with Medicaid Claims Processing.
- Minimum 5 years of experience analyzing business objectives and identifying alternative solutions.
- Minimum 5 years of experience reviewing, analyzing, and evaluating user requirements, operational procedures, and business processes.
- Minimum 5 years of experience documenting user requirements, program functions, and development specifications.
- Minimum 5 years of experience conducting cost-benefit analyses and evaluating system alternatives.
- Minimum 5 years of experience documenting input/output requirements, reporting formats, and data collection processes.
- Minimum 5 years of experience using Azure DevOps, including requirements management and wireframe creation.
- Strong analytical and problem-solving skills with the ability to evaluate complex business and technical issues.
- Excellent verbal and written communication skills.
- Strong interpersonal skills with the ability to collaborate across multiple teams and stakeholder groups.
- Knowledge of Information Technology industry trends, best practices, and emerging technologies.
- Understanding of enterprise architecture concepts, including infrastructure, applications, data, and organizational frameworks.
- Knowledge of information security principles, data integrity controls, technology standards, and governance practices.
- Experience delivering solutions using Agile and/or Scrum methodologies.
Preferred Qualifications - Experience with the Texas Department of Information Resources (DIR) Project Delivery Framework and associated documentation templates.
- Familiarity with enterprise information architecture and information management methodologies.
- Knowledge of existing and emerging software technologies, enterprise architecture frameworks, and infrastructure components.
- Experience working within state government, healthcare, or Medicaid environments.
Technical Skills - Medicaid Claims Processing Systems
- Azure DevOps
- Requirements Gathering & Analysis
- Business Process Modeling
- Wireframing
- Workflow Documentation
- SDLC Methodologies
- Agile / Scrum
- User Acceptance Testing (UAT)
- Test Planning & Execution
- Process Improvement
- System Analysis
- Technical Documentation
- Stakeholder Management
- Data Analysis & Reporting
Soft Skills - Analytical Thinking
- Problem Solving
- Communication
- Collaboration
- Relationship Building
- Attention to Detail
- Organizational Skills
- Knowledge Sharing
- Adaptability
- Leadership and Influence
