Senior Business Analyst (Medicaid Claims Processing)
Crescens
Job Title: Senior Business Analyst (Medicaid Claims Processing)
Location: Austin, TX(Hybrid)
Duration: 6+ Months Key Responsibilities:
Minimum Requirements:
Location: Austin, TX(Hybrid)
Duration: 6+ Months Key Responsibilities:
- Understands business objectives and problems, identifies alternative solutions, performs studies and cost/benefit analysis of alternatives. Analyzes user requirements, procedures, and problems to automate processing or to improve existing computer system: Confers with personnel of organizational units involved to analyze current operational procedures, identify problems, and learn specific input and output requirements, such as forms of data input, how data is to be; summarized, and formats for reports.
- Writes detailed description of user needs, program functions, and steps required to develop or modify computer program. Reviews computer system capabilities, specifications, and scheduling limitations to determine if requested program or program change is possible within existing system.
- Assists in development of project documentation based on HHSS/DIR requirements. Assists in the development of application on-line help. Conducts requirements gathering with non-technical Subject Matter Experts to understand business process needs and program requirements to create Use Cases, flow charts, acceptance criteria and other documentation needed for system enhancements.
- Analyzes new and existing business processes to determine how modifications and changes will impact the system. Will serve as a technical expert responsible for working with non-technical and technical stakeholders to ensure clear and effective communication is maintained throughout the Software Development Life Cycle. (30%)
- Ensures that design complies with HHSS standards (5%)
- Performs necessary testing of assigned programs, including the generation of test data, writing test scripts/execution sequences, examining test results, debugging detected errors, etc. Uses current software development methods/techniques and established development standards (which include testing standards) to ensure the quality and maintainability of applications. (25%)
- Provide status reports on enhancement activities and resolution of issues impacting system. Notify immediate manager and technical lead of critical issues impacting the system's ability to deliver services as designed. Attends regular status meetings to update team members such as developers, business analysts, database administrators and project managers on progress of assigned work.
- Regularly updates assignments through the use of a ticketing system allowing for the sharing of information with project team members. Provides information to non-technical and technical staff via email, telephone and formal presentations covering such topics as system functionality, data collection processes and other technical issues as needed. Audiences for these communications would be both internal business groups and external entities to the agency including governmental organizations as well as contract service providers. (25%)
- Facilitate information sharing to ensure knowledge transfer and the elimination of single points of failure for an information system. This will be done through one-on-one discussions, group sessions to review system documentation, preparation of documentation illustrating system architecture, workflows and dependencies for project deliverables. Update immediate supervisor, other management team members and system stakeholders as needed regarding recommended implementation strategies and solutions. (15%)
Minimum Requirements:
- Experience with Medicaid Claims Processing
- Experience in business objectives and problems and identifying alternative solutions
- Experience in reviewing, analyzing, and evaluating user requirements, operational procedures, and problems to automate processing and/or to improve existing computer systems
- Experience in writing detailed descriptions of user needs, program functions, and steps required to develop and/or modify computer program
- Experience in cost/benefit analysis of systems and alternatives
- Experience in analyzing and documenting input and output requirements, such as forms of data input, how data is to be summarized, and formats for reporting.
- Experience with Azure DevOps and generation of wireframes
- High level of sound logic and analytical ability difficult
- Highly developed oral and written communications skills
- High level of interpersonal skills to work effectively with others motivate employees and elicit work output
- Knowledge and understanding of Information Technology industry trends, directions and market experience; ability to relate them to own organization
- Knowledge of architectural concepts, principles, and tools relevant to infrastructure, information, applications, organizational structure, etc.
- Knowledge of emerging technologies (new to company systems as well as those that are new to the information systems industry)
- Knowledge of tools, techniques and good practices for protecting the integrity of corporate data and associated processing, company technology practices, standards and procedures
- Knowledge of solution delivery utilizing Agile or Scrum methodology
- Experience with Texas DIR Project Delivery Framework and document templates
- Familiarity with company's information architecture and information management methodologies
- Familiarity with the existing and planned software technology and the global, regional and local software architecture and infrastructure components
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Business Analyst (Medicaid Claims Processing) in Austin, TX vacancy
- ...Business Analyst – Medicaid Claims Position: Business Analyst – Medicaid Claims Duration: Long term Client: State of TX Location: Austin... ...5 - Required - Experience with Medicaid Claims Processing 5 - Required - Experience in business objectives and problems...Claims
ALIS Software LLC
Austin, TX1 day ago - ...Role: Senior Business Analyst – Medicaid Claims Processing Location: Austin, TX – Hybrid Must Have: ~5+ years of Medicaid Claims Processing experience ~5+ years of Business Analysis experience ~5+ years of experience with Azure DevOps (ADO) ~5+ years of...Claims
COGENT DATA SOLUTIONS LLC
Austin, TX6 hours ago - ...Senior Discovery Business and System Analyst Employment Type: Full-Time, Executive-Level CGS is seeking a... ...manage new and existing business processes in order to facilitate training, analysis... ...industry solution providers that claim to satisfy the identified business...SeniorClaimsFull timeFor contractorsWork at officeFlexible hours
Contact Government Services LLC
Austin, TX3 days ago $71.2k - $158.2k
Job Description The Senior Consultant for the State... ...facilitating our Medicare and Medicaid initiatives. Federal... ...member, provider, and claim relationships. Design... ...federal reporting processes, addressing both state... ...Bachelor's degree in Business, Health Care, or...SeniorClaimsTemporary workWork experience placementFlexible hours- ...future opportunities as a Senior Systems Configurator - SAP Functional Analyst. In anticipation of... ...SAP solutions to meet business requirements. You will... ...implement scalable SAP processes, and ensure solutions align... ..., invoicing, and claims within SAP. Oversee financial...SeniorClaimsLocal areaWork from homeRelocation package
$62.21 - $69.13 per hour
Senior Business Analyst (Financial Services) Join to apply for the Senior Business Analyst (Financial... .... You'll dive deep into business processes, analyze complex challenges, and craft... ...days ago Business Analyst, Logistics Claims Management and Operations Business Analyst...SeniorClaimsFull timeContract workWork experience placementWork at office- A healthcare organization is seeking a Sr Analyst - Business Systems to provide technology solutions for customer needs. This remote role requires... ...with clinical stakeholders, and understanding of health claims data. Responsibilities include system integration projects, conducting...SeniorClaimsRemote work
Ascension
Austin, TX6 days ago - ...is seeking an experienced Technical Business Analyst with strong Medicaid domain expertise to support large-... ...gather requirements, analyze business processes, document system enhancements,... ...Skills: Experience with Medicaid Claims Processing. Experience analyzing...ClaimsLocal areaRelocation
$75k - $85k
...Fortune Best Workplaces in Financial Services & Insurance Senior Business Analyst - Data & Insights Join us in delivering cutting-edge... ...or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating...SeniorClaimsFlexible hoursSedgwick
Austin, TX1 day ago- Georgia IT, Inc. is seeking a Business Analyst 2 located in Austin, Texas. This position is hybrid... ..., and providing project oversight for Medicaid IT systems. The ideal candidate should... ...with knowledge of Texas HHSC processes and Medicaid systems are preferred. #J...Remote job
- ...Collaborate in efforts towards data integration from proprietary tools, processes, methodologies and systems to drive UAT planning, testing, and... ...offers and to verify the authenticity of any communication claiming to be from Micron by checking the official Micron careers...SeniorClaimsLocal areaImmediate start
Micron Technology
Austin, TX3 days ago - ...Hanger Accounts Payable Team with the following specific duties: process all Accounts Payable payments, provide excellent customer... ...point for payment disputes, short payments, duplicate payment claims, and remittance discrepancies; resolve complex issues with minimal...SeniorClaimsDaily paidPart timeWork at officeLocal areaRelocation packageFlexible hours
$90k - $120k
...Join to apply for the Business Analyst – Healthcare role at... ...workflows, and Medicaid/Medicare program requirements... ...policy, data, and process requirements into... ...state workflows (e.g., claims processing, eligibility... ...Details Seniority Level: Mid-Senior level...ClaimsFull timeRemote workMonday to FridayFlexible hoursLumenalta
Austin, TX1 day ago- ...LLC , We are looking for a Business Analyst with one of our direct clients... ...review and approval processes of complex technical user and... ...expertise. Experience with Medicaid systems and processes. Experience in claims processing. Seniority Level: Mid-Senior level Employment...ClaimsContract workWork at office
$50.2k - $107.4k
...leading consulting firm in Austin is seeking a Senior Recruitment Lead to support state and... ...The ideal candidate will have expertise in business process reengineering and agile methodologies, particularly within Texas Medicaid and CHIP systems. This role offers a competitive...Senior$68 - $73 per hour
...Number: 485773 Job Title: Business Analyst Job Location: Austin,... ..., Healthcare, Process Improvement, Verbal Communication... ...with Texas HHSC and Medicaid/CHIP systems is a... ...by OCGA 13/10-91.). Seniority level Seniority level... ...Analyst, Logistics Claims Management and...ClaimsHourly payFull timeTemporary workLocal areaRemote workShift work$5,000 - $6,999 per month
Career Opportunities: Business Analyst III (LTC Production Support) (1695... ...Health & Human Services Comm - Claims Management (50/50) -... ...Brief Job Description The Medicaid and CHIP Services (MCS) department... ...Experience working on payment processing systems and their supporting...ClaimsFull timeTemporary workPart timeWork at officeRemote workWork from homeShift work- ...Experience in performing complex business analysis and writing... ...performing review and approval processes of complex technical user and... ...Experience as a Business Analyst. Experience approving and... ...expertise. Experience with Medicaid management information systems...Work at office
3B Staffing LLC
Austin, TX3 days ago - ...The Worker will serve as a senior Business Analyst/Product Owner for the modernization... ...policies, procedures, and processes to determine the impact on... ...Required Experience with Medicaid systems and processes. 8... ...Required Experience in claims processing. 4 years Preferred...ClaimsContract workWork at officeLocal area
CeDent
Austin, TX1 day ago - ...Role: Medicaid Business Analyst Location: Austin, TX (Hybrid) Duration: 12+ Month... ...strategies. • Experienced with business process reengineering and identifying new applications... ...or modify computer programs. • Senior Business Analyst with a strong background...
Damco Solutions
Austin, TX4 days ago - ...Skills: Medicaid Claims Processing, Business Analysis, Requirements Gathering, Requirements Documentation, Azure DevOps, Wireframing, Agile... ...Healthcare Systems. We are seeking an experienced Senior Business Analyst to support Medicaid claims processing initiatives and...ClaimsContract work
Dutech Systems, inc
Austin, TX1 day ago - Onset is seeking a Senior Business Analyst in Austin, TX, to analyze business systems, enhance documentation, and support software development. The role requires at least 8 years of experience in business analysis, a strong understanding of SDLC methodologies, and effective...Senior2 days per week
- Highmark Inc. is seeking a Senior Claims Analyst specializing in Stop Loss claims to evaluate and process Excess Risk claims. The role involves daily processing, monitoring complex potential claims, and ensuring compliance with industry standards. The ideal candidate will...SeniorClaims
$91.11k - $127k
...Join to apply for the Sr Analyst - Business Systems role at AscensionLocation: Remote | Department... .... Determine and map existing business processes/functions and recommend changes required... ...have a strong understanding of health claims data and building accurate narratives with...SeniorClaimsTemporary workLocal areaRemote workMonday to FridayAscension
Austin, TX1 day ago- ...layers, infrastructure, and integrations; knowledge of business rules engines and workflow orchestration; familiarity with... ...preferred Experience and knowledge of client's processes as well as Texas Medicaid and CHIP systems Experience updating portfolio project...
3B Staffing LLC
Austin, TX3 days ago - ...compliance policies with government (Medicare & Medicaid) and private payer regulations. Work closely with... ...diagnosis codes used for coding and billing for medical claims. High Knowledge of medical terminology, disease processes and pharmacology. Strong attention to detail and...SeniorClaimsWork experience placementWork at office
- ...Job title: Senior Business Analyst Location: Austin Texas Type: Contract - Onsite Rate: $60/hr on W2 Must: In-Person Interview... ...and functional areas. Develop and review test cases, process change requests, and manage project scope, acceptance, installation...SeniorContract workFor contractors
Seneca
Austin, TX3 days ago - A leading health insurance provider is looking for a detail-oriented claims analyst to evaluate and process Stop Loss (Excess Risk and Reinsurance) claims. The role involves building client relationships, analyzing claim losses, and ensuring adherence to policies and guidelines...SeniorClaims
- A leading systems consultancy is looking for a Business Analyst to support various projects for the Texas Education Agency, aiming to improve... ...with Modern Requirements and Atlassian Jira, and skills in user story development and process improvement. #J-18808-LjbffrSeniorRemote work
Vaachi Systems
Austin, TX11 days ago $100k - $110k
...GovCIO is looking for a Senior Business Analyst to join their remote team. This role involves gathering system requirements, collaborating with business partners, and managing documentation processes. The ideal candidate should possess a Bachelor's degree, extensive experience...SeniorRemote workGovCIO
Austin, TX12 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Business Analyst (Medicaid Claims Processing). Be the first to apply!
Related searches
- order management analyst Austin, TX
- vendor management analyst Austin, TX
- business analyst part time remote Austin, TX
- senior business analyst contract Austin, TX
- workforce management analyst Austin, TX
- business development analyst Austin, TX
- capital markets business analyst Austin, TX
- senior business development analyst Austin, TX
- knowledge management analyst Austin, TX
- deloitte business technology analyst Austin, TX