Health Care Business Analyst

Texas Health and Human Services Commissionrequires the services of 1 Business Analyst 3, hereafter referred to as Candidate(s), who meets the general qualifications of Business Analyst 3, Applications/Software Development and the specifications outlined in this document for the Texas Health and Human Services Commission.All work products resulting from the project shall be considered "works made for hire" and are the property of the Texas Health and Human Services Commission and may include pre-selection requirements that potential Vendors (and their Candidates) submit to and satisfy criminal background checks as authorized by Texas law. Texas Health and Human Services Commissionwill pay no fees for interviews or discussions, which occur during the process of selecting a Candidate(s). Reviews, analyzes, and evaluates business systems and user needs. Formulates systems to parallel overall business strategies. Experienced with business process reengineering and identifying new applications of technology to business problems to make business more effective. Familiar with industry standard business process mapping, and reengineering. Prepares solution options, risk identification, and financial analyses such as cost/benefit, ROI, buy/build, etc. Writes detailed description of user needs, program functions, and steps required to develop or modify computer programs. The Business Automation Support (BAS) unit within the Medicaid and CHIP Services (MCS) Department oversees Texas Medicaid & Healthcare Partnership (TMHP) systems and related support activities. BAS provides oversight of LTC program systems, which supports LTC providers for services delivered to individuals; modifications and updates to TMHP vendor systems; and encounter data and MCO file support and coordination. A Business Analyst (BA) is needed to support the legislatively approved Provider Enrollment and Management System (PEMS) projects. PEMS is a centralized electronic method for Medicaid and non-Medicaid program providers interested in enrolling to submit a single application, in a single location (a web portal), to be accepted and processed by a single entity based on their National Provider Identifier (NPI). HHSC would like to make significant changes to PEMS to improve the provider experience and system functionality. The Worker will serve as a Business Analyst/Product Owner for the PEMS project and support activities as needed. The Worker will work directly with internal units (Provider Services); TMHP technical sprint teams; and business users to provide subject matter expertise, perform critical analysis, ensure requirements are gathered that meet the functional needs and assist in creating and maintaining a prioritized and healthy backlog as directed by the legislative mandate. The Worker will be responsible for delivering quality products that meet the state's desired operational and technical requirements. The worker will have considerable latitude to use their experience and judgement to ensure successful completion of their assigned tasks. The Worker will be required to multi-task, analyze priorities, communicate clearly, and set expectations for the phases of the project. The Worker will be responsible for communicating with multiple internal and external stakeholders including program and technical staff, and other contracted and vendor resources. The Worker will participate in meetings, track deliverables and schedules, and alert management of any issues that may impact providers. The services to be provided include, but are not limited to the following: A. Analyzes program policies, procedures, and processes to determine the impact on business systems and functional areas. B. Analyzes and reviews system, data, and project deliverables such as business user requirements, design documentation, test plans, and risk assessment plans to ensure business and technical requirements are met. C. Works with program area staff to solicit, analyze and document business processes and requirements. D. Acts as a liaison between state staff and vendors to translate operational and business requirements to vendors. E. Serves as the Product Owner for an Agile team, including working with Agile/Scrum teams of contracted software vendors to implement system changes. F. Analyzes and writes User Stories with Acceptance Criteria based on business needs and according to the Agile methodology. G. Develops and maintains business user test scenarios and participates in systems and user acceptance testing. H. Creates use case scenarios, test plans, and exit criteria that accurately map back to the documented business requirements or user stories. I. Reviews, analyzes and executes test cases with a formal testing tool. J. Tracks, documents and reports the status of testing. K. Evaluates proposed test strategies to ensure appropriate test coverage. L. Identifies potential project risks and issues and develops mitigation strategies, M. Reports project status to management on established timelines. N. Documents action items and business decisions. O. Conducts meetings and/or presentation tasks as needed. Q. Other duties as assigned related to PEMS projects. CANDIDATE SKILLS AND QUALIFICATIONS 8Years-Required-Experience as a Business Analyst and Agile Product Owner. 8 Years -Required-Experience utilizing the Agile software development methodology. 8 Years -Required-Experience in performing complex business analysis and writing technical documentation. 8 Years -Required-Experience reporting project status to management including risks, issues, and key decisions. 8 Years -Required-Experience identifying project risks and issues; and developing/implementing mitigation strategies. 8 Years -Required-Experience in effective general written/oral communication, including documenting requirements, deliverables, test scenarios and project status. 8 Years -Required-Experience utilizing business analysis skills and interacting with business end users to gather, validate and document business requirements and translate into technical solutions to satisfy the business needs. 8 Years -Required-Experience performing review and approval processes of complex technical user and system requirements written by vendors. 8 Years -Required-Experience with Microsoft Office products (Teams, Word, Excel, PowerPoint). 8 Years -Required-Experience coordinating and developing test plans/strategies, exit criteria and test scenarios. 8 Years -Required-Experience executing detailed test cases within a complex software environment. 8 Years -Required-Experience using testing management software. 8 Years -Required-Experience with Microsoft Project or similar project management software. 8 Years -Required-Experience approving and prioritizing user stories based on stakeholder feedback and subject matter expertise. 8 Years -Required-Experience with Medicaid systems and processes. 8 Years -Required-Experience in claims processing. 4 Years -Preferred-Knowledge of Texas Medicaid programs. 2 Years -Preferred-Experience with the Project Enrollment and Management Systems project. 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