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Senior Medicaid Business Analysis Lead (Remote)

$150k

Maximus

Richmond, VA
  • Remote job

The Lead Business Analyst will perform primarily functional business analysis with required technical acumen to support Medicaid programs. This role partners closely with Development and Systems teams to analyze workflows, data tables, lead requirements development, perform data and change impact analysis, investigate defects, and ensure consistent application of business processes. The role owns solution reviews and supports implementation activities to ensure Maximus remains the source of truth. This is a fully remote position. Requires 25% travel. * Why Join Maximus?

  • Competitive Compensation - Bonus opportunities based on performance.
  • ️ Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
  • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
  • ️ Unlimited Time Off Package - Enjoy UTO, Holidays, and sick leave,
  • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
  • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
  • Tuition Reimbursement - Invest in your ongoing education and development.
  • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
  • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
  • Professional Development Opportunities- Participate in training programs, workshops, and conferences.
Essential Duties and Responsibilities: Develop and maintain effective processes for managing requirements, developing business processes, and providing production support to the operation. Lead and implement the design, analysis, interpretation and evaluation of a variety of reports, internal/external resource documents and surveys. Lead and own activities related to Business Requirement Documents process. Analyze existing systems, programs, policies, and organizational processes and recommend enhancements and improved solutions. Design and implement process improvements that enhance customer service and optimize business operational efficiency and quality. Conduct statistical analyses and evaluates a wide variety of information to assess operational difficulties and develop solutions to complex problems, including escalated issues Independently develop and implement modeling and evaluation processes to determine the effectiveness of current operational activities. Provide oversight and perform research and gap analysis to determine and improve effectiveness of all operational documentation. Serve as a liaison between business ops and system team for the planning, implementation and maintenance of programs and contractual changes. Communicate status, risks, and issues to the Systems Analysis and Design Director, senior management and/or the client, as appropriate. Monitor BA activities with the Systems Analysis and Design Director to ensure that all business analysis activities are allocated appropriately and executed as planned. Ensure all business requirements and business processes are adequately documented. Lead cooperative efforts among members of a project team. Manage efficient execution of business meetings with internal project staff, client staff, and/or project vendors. Act as advisor to project team members to resolve problems. Provide support to operation senior staff, division managers and program managers. Develop high quality communications suitable for clients. Work effectively with internal and external business partners in the delivery of solutions. Maintain extensive and comprehensive working knowledge of all assigned programs and projects. '- Lead and own end-to-end business analysis and requirements management activities. Develop and maintain Business Requirement Documents (BRDs). Analyze workflows, system interactions, and data tables. Partner with Development teams and participate in solution reviews. Perform data analysis, defect investigation, and change impact analysis. Track and manage nonsystem client requirements. Serve as liaison between business operations, systems teams, and clients. Support contract administration, SLAs, and scope control. Lead stakeholder meetings and provide status reporting. Support implementation and onsite client engagement as required. Minimum Requirements '- Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience. Program Specific Requirements Bachelor’s degree or equivalent professional experience. Medicaid provider background with understanding of downstream impacts. Health and Human Services experience. MMIS experience supporting state Medicaid agencies or MCOs. Minimum 3 years provider related Medicaid experience. Strong experience with workflows, requirements documentation, change impact analysis, and defect investigation. Program Specific Preferences Familiarity with Medicaid provider enrollment and credentialing and related downstream impacts. Experience supporting MMIS implementations or enhancements. Prior consulting or multi‑client program experience. Work Arrangement & Travel Remote within the U.S. Implementation driven travel required with weekly onsite presence during implementation periods.#HumanServices Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Minimum Salary $150,000 Maximum Salary $179,300 #J-18808-Ljbffr Maximus

Vacancy posted 1 day ago
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