State Medicaid Technical Business Analyst

Job Description

Job Description

Job Description:

The client is seeking an experienced Technical Business Analyst with strong Medicaid domain expertise to support large-scale state healthcare initiatives. The ideal candidate will work closely with business and technical stakeholders to gather requirements, analyze business processes, document system enhancements, support testing activities, and ensure successful delivery of Medicaid-related projects.

Key Responsibilities:

• Conduct requirements gathering sessions with business users and Subject Matter Experts (SMEs).
  

• Analyze business objectives, operational procedures, and system requirements.
  

• Develop use cases, process flows, wireframes, acceptance criteria, and business documentation.
  

• Analyze existing and proposed business processes and assess system impacts.
  

• Assist in the development of project documentation in accordance with HHSC and DIR standards.
  

• Serve as a liaison between business stakeholders and technical teams throughout the SDLC.
  

• Participate in system testing activities, including test data preparation and test script execution.
  

• Monitor project progress and provide status updates on enhancement activities and issue resolution.
  

• Facilitate knowledge transfer through documentation, architecture reviews, and stakeholder communication.
  

• Support implementation planning and recommend appropriate technical solutions.
  

Additional Responsibilities:

• Assist with online help documentation and user support materials.
  

• Participate in regular project status meetings.
  

• Maintain project updates within ticketing and project management systems.
  

• Deliver presentations and communications to both technical and non-technical audiences.
  

• Collaborate with developers, DBAs, project managers, and business teams.
  

Required Skills:

• Experience with Medicaid Claims Processing.
  

• Experience analyzing business objectives and identifying alternative solutions.
  

• Experience reviewing and evaluating user requirements and operational procedures.
  

• Experience documenting user needs, program functions, and system requirements.
  

• Experience performing cost/benefit analysis.
  

• Experience documenting data input, output, and reporting requirements.
  

• Experience with Azure DevOps and wireframe creation.
  

• Strong analytical and problem-solving abilities.
  

• Excellent verbal and written communication skills.
  

• Strong stakeholder management and interpersonal skills.
  

• Knowledge of software development lifecycle methodologies.
  

• Knowledge of Agile and Scrum delivery methodologies.
  

• Experience with Texas DIR Project Delivery Framework and associated templates.
  

• Knowledge of information architecture and information management methodologies.
  

• Understanding of enterprise architecture and infrastructure concepts.
  

• Knowledge of emerging technologies and industry trends.
  

• Understanding of data governance, integrity, and security best practices.
  

Preferred Skills:

• Texas Health and Human Services (HHSC) project experience.
  

• State Medicaid system modernization experience.
  

• Healthcare payer or claims processing platform experience.
  

• Experience supporting large government technology initiatives.
  

• Advanced process modeling and workflow documentation expertise.
  

Qualifications:

• Minimum 12+ years of Business Analysis experience.
  

• Strong Medicaid Claims Processing experience required.
  

• Experience working with Texas State Agencies preferred.
  

• Experience working in Agile/Scrum environments.
  

• Ability to communicate effectively with both technical and non-technical stakeholders.
  

Education:

• Bachelor\'s degree in Computer Science, Information Systems, Business Administration, Healthcare Informatics, or related field preferred.
  

Certifications:

• CBAP (Preferred)
  

• PMI-PBA (Preferred)
  

• Certified Scrum Master (Preferred)
  

• Agile Business Analyst Certification (Preferred)
  

Additional Notes:

• Local Austin, Texas candidates only (within 50-mile radius).
  

• Candidates relocating from outside Texas will not be considered.
  

• Interview Process: Microsoft Teams.
  

• Medicaid Claims Processing experience is mandatory.