Medicaid Management Information System (MMIS) Reimbursement Business Analyst Team Supervisor

About the Organization :
The Executive Office of Health and Human Services is comprised of 11 agencies and the MassHealth program. EOHHS seeks to promote the health, resilience, and independence of the nearly one in three residents of the Commonwealth we serve. Our public health programs touch every community in the Commonwealth. To know more about EOHHS, please visit .


About the Role :
The Executive Office of Health and Human Services (EOHHS) is seeking an experienced Application Development & Support Supervisor to lead the Medicaid Management Information System (MMIS) Provider Reimbursement and Claims Business Analysis team, service as the MMIS Reimbursement Business Analyst Team Supervisor . The individual selected for this position will support MassHealth's Medicaid program, where MMIS serves as the central enterprise system supporting healthcare policy administration, provider reimbursement and payment processing claims across the Commonwealth of Massachusetts.


The person hired for this position should possess strong business analysis, leadership, and enterprise systems experience supporting all phases of large-scale healthcare technology solutions, including, but not limited to: Business requirement gathering, analysis, design, development support, quality assurance testing, implementation, and production release management. The selected candidate will work closely with and report directly to the MMIS Application Manager while collaborating with boarder EOHHS business and IT teams, vendors, contractors, and MassHealth stakeholders.


MassHealth is looking for a well-organized, results-driven candidate who possesses strong leadership qualities and the ability to manage complex business and operational initiatives.


The primary work location for this role will be at 1 Enterprise Drive, Quincy MA 02171. The work schedule for this position is Monday thru Friday, 9:00AM to 5:00PM EST. This position would be expected to follow a hybrid model of reporting to work that combines in-office workdays and work from home days as needed.


Responsibilities :

• Manage and oversee the daily operation of MMIS Provider Reimbursement and Claims sub-systems.
• Set goals and objectives for the individuals and team(s).
• Evaluate and resolve daily operational, policy and/or business issues.
• Supervise staff and contractors to ensure the program timelines and deliverables are met.
• Prioritize tasks, identify resources, assign projects, and ensure delivery.
• Provide strategic, political, technical, and operational advice to the MMIS Applications Manager.
• Establish and maintain ongoing contacts with key MassHealth program business management, MMIS constituencies including the user EOHHS program user community, IT management staff and advocate groups, software development teams that will share information and work collaboratively; and serve as the escalation point for resolving problems.
• Contribute to the MMIS program review /subsystem processes; identify best practices and opportunities for improvement; oversee implementation of policy changes and determine their effectiveness.
• Ensure the Business Analysis team develops and maintains all required documentation for new and existing applications in accordance with project management and organizational standards.
• Lead meetings with business users and stakeholders to analyze, document and validate business requirements.
• Support Quality Assurance (QA) activities including functional, regression, user acceptance, and accessibility compliance testing, including Americans with Disabilities Act (ADA) requirements.
• Facilitate the completion of the business analysis phase throughout the project lifecycle and participate in implementation planning, release coordination, and product deployment activities under the direction of the MMIS Application Manager and MMIS Director.
• Work with the Application Manager/MMIS Director to advise and participate in all project phases on special projects.
• Research existing application inventory for recommendations on like systems.
• Facilitate group joint application design (JAD) sessions to obtain business requirements and create use cases.
• Gather detailed business and technical requirements and participate in the definition of business rules and data standards.
• Prepare gap analysis and process flow diagrams.
• Participate in defining best approaches and priorities to meet the needs of the business.
• Perform research and create deliverables as required by assigned Application Manager/MMIS Director.
• Develop and implement test plans.
• Participate in PMO phase gate review sessions.
• Provide clear and realistic timeline estimates to all stakeholders.
• Assist in prioritizing requirements.
• Support the development of end-user training materials and end-user documentation.
• Provide guidance to business on scope and iterative development processes.
• Utilize existing tools and processes to schedule reviews and code drops.
• Prioritize work among multiple projects, within and across teams.
• Provide on-going operational support as needed.

Preferred Qualifications :

• 5+ years of experience in business analysis.
• Expert knowledge of systems and business analysis/design concepts.
• Knowledge of the Unified Process and/or Agile process.
• Must be self-motivated, well organized and have strong innovation and facilitation skills.
• Proven oral and written communication skills.
• Proficient in English grammar, usage, mechanics, and composition.
• Ability to effectively use MS Office tools including Visio, Project, Word, Excel, MS Access, and PowerPoint.
• A thorough understanding of relational databases and data models.
• Diagnostic and problem-solving skills.
• Experience with Jira and Confluence preferred.
• Excellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel of other agencies and companies.
• Demonstrated ability to work independently, as well as within project teams, providing relevant system analysis services.

Pre-Offer Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit .


Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.


Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.


ADA Reasonable Accommodation: If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests


For questions, please contact the Office of Human Resources at View phone number on click.appcast.io and select option #4

Qualifications:
First consideration will be given to those applicants that apply within the first 14 days.


Minimum Entrance Requirements:

Applicants must have (A) at least three (3) years of full-time or equivalent part-time professional or practical experience in the field of information technology application development and support, or (B) any equivalent combination of the required experience and the substitutions below.


Substitutions:

I. An Associate's degree in a related field may substitute for one (1) year of the required experience.

II. A Bachelor's degree or higher in a related field may substitute for two (2) years of the required experience.

III. A Master's degree or higher in a related field may substitute for the required experience.


Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.


Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!


An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.


The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.