Business Analyst III (Acute Care/Fee-For-Service Products)

TX-HHSC-DSHS-DFPS•Austin, TX

6d•$5,798 - $7,653•Onsite

About The Position

The Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) department seeks a qualified technical candidate to fill the position of Business Analyst III in the Acute Care Products & Governance team. This position reports to the Manager of Acute Care Products team within the Operations Management Division. The position will serve as a technical Product Owner (PO) and perform highly complex (senior level) business analysis work. The Product Owner is responsible for overseeing the analysis, planning, coordination, implementation, and operational readiness of system enhancements impacting EDI transactions, encounter processing, managed care organizations (MCOs), providers, trading partners, and other Medicaid stakeholders. The position serves as the liaison between HHSC program areas, HHSC Information Technology, TMHP vendors, managed care organizations, and external stakeholders to ensure business needs are accurately understood, requirements are properly defined, impacts are thoroughly assessed, and system changes are successfully implemented. This role requires strong analytical, leadership, communication, and facilitation skills, as well as the ability to manage multiple complex initiatives simultaneously while ensuring alignment with business objectives, operational needs, regulatory requirements, and strategic priorities. The ideal candidate is a self-starter who exercises sound judgment, works independently with minimal supervision, and excels at analyzing and resolving complex system and operational issues.

Requirements

Experience serving as a Product Owner, Senior Business Analyst, Systems Analyst, Project Manager, or similar role supporting large-scale healthcare or vendor-managed systems.
Experience working within Agile, Scrum, SAFe, or hybrid project management environments.
Experience performing analysis of complex automated systems and applications.
Experience facilitating work across multiple teams, technical staff and contracted vendors business needs and requirements for modifications to complex automated systems and applications.
Experience working with HHSC Acute Care/Fee-for service Medicaid programs and systems.
Experience identifying, troubleshooting, and overseeing resolution of issues that impact systems.
Leading SAFe® 6.0 Agilist certification or ability to obtain within six months.
SAFe® Product Owner Product Manager 6.0 certification or ability to complete within one year.

Nice To Haves

Graduation from an accredited four-year college or university with major course work in business, healthcare administration, information systems, or a related field. Experience and education may be substituted on a year for year basis.
Knowledge of Electronic Data Interchange (EDI), healthcare transactions, encounter processing, claims processing, managed care operations, provider communications, and healthcare system integrations.
Experience working as Product Owner in an Agile Development environment.
Experience working with Texas Medicaid and Healthcare Partnership (TMHP).

Responsibilities

Oversees Acute care/Fee-for service projects. Works closely with the development team(s), vendors, and other internal and external stakeholders to ensure alignment on product vision, requirements, and technical execution.
Coordinates with state programs and vendors to determine priorities of project tasks, activities required to complete tasks, and critical impact on end users.
Prioritizes features, stories, and other project activities, ensuring that the most valuable features and functionality are addressed first.
Assist with project scope planning, development of timelines, assists with gathering business user requirements, and manages communications across HHSC program areas and vendor contacts.
Contributes to the product/team backlog by working with the Product Development Team and Solution Architects to breakdown business epics, document stories, design details and acceptance criteria.
Supports all aspects of projects and/or assigned tasks according to scope, budget, and schedules.
Assists with the development of project features and user stories; coordinating across several teams; and developing vision of product by assisting with defining features/user stories needed by business.
Understands, anticipates, resolves, and escalates risks and issues by working with the project team to address potential issues and ensure the product's stability and quality.
Participates in internal Epic refinement sessions to prepare business epics and stories for technical breakdown and planning, ensuring all requirements are well understood by the Product Development Team.
Serves as an advisor to product team members, providing guidance on technical aspects and best practices.
Serves as a liaison to facilitate collaborative work across MCS to identify effective solutions for projects impacting Acute Care products.
Communicates across teams, vendors, program, and policy areas, and HHSC IT.
Assists with coordinating and facilitating the analysis and determination of business needs and requirements for acute care system enhancement projects and modifications to complex automated systems and applications.
Works with project team to meet with business users to gather and document user needs and translates into business user requirements and establishes system modification priorities.
Reviews expected outcomes to ensure that desired system results are achieved.
Must be able to understand and communicate technical requirements, constraints, and progress to both technical and non-technical audiences clearly and effectively.
Carries technical knowledge into strategic conversations about the product/system change.
Coordinates and/or approves user acceptance testing within Acute Care systems prior to completion and implementation of projects.
Assist with the development of business scenarios that test changes made to automated systems.
Monitors the incorporation of system changes into the applications to be tested in the test environment and the testing of those changes to ensure that business requirements have been met.
Monitors business end user testing and reviews feedback from users and results to ensure required system modifications meet business requirements.
Tracks progress and status of testing and communicates risks and issues to management.
Participates in workgroups and public meetings regarding acute care program and policy issues, initiatives, and Medicaid program changes, and participates in special investigations, studies, and program analysis projects.
Oversees, monitors, and evaluates vendor contract requirements. Ensures compliance and determines whether contractors deliver services in accordance with the contract terms and requirements.
Monitors requirements in accordance with internal specifications and required review frequency.
Assists with creating and maintains Policy and Procedure documents based on established processes.