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

TX-HHSC-DSHS-DFPS•Austin, TX

11d•$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

Graduation from an accredited four-year college or university with major course work in business, healthcare administration, information systems, or a related field is generally preferred. Professional experience in a related field may substitute for the required degree on a year-for-year basis.
Experience serving as a Product Owner 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.
Knowledge of Acute care systems and processes.
Knowledge of Business Requirements gathering.
Knowledge of Information technology for business applications.
Knowledge of Agile Methodology.
Knowledge of Trading Partner Testing (TPT).
Knowledge of User Acceptance Testing (UAT).
Strong critical thinking.
Identifying business measures or performance indicators.
Coordinating and resolving complex problems.
Conducting research and identifying problem resolutions for Acute Care activities/projects.
Leading and supporting multiple projects including project planning, tracking, and coordinating project activities.
Developing and understanding business user requirements.
Conducting/reviewing user testing of automated systems.
Ability to plan, assign, and oversee the product team.
Ability to write and revise standards and procedures.
Ability to develop, evaluate, and interpret policies and procedures.
Ability to prepare reports.
Ability to work collaboratively across MCS to accomplish objectives.
Ability to communicate effectively, both orally and in writing.
Ability to work with stakeholders to gather requirements and/or explain technical information.

Nice To Haves

Leading SAFe® 6.0 Agilist certification preferred.
SAFe® Product Owner Product Manager 6.0 certification preferred.
Experience working with HHSC Acute Care/Fee-for service Medicaid programs and systems.
Knowledge of Electronic Data Interchange (EDI), healthcare transactions, encounter processing, claims processing, managed care operations, provider communications, and healthcare system integrations.
Experience working with Texas Medicaid & 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 automated systems changes.
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; participates in special investigations, studies, and program analysis projects.
Oversee, monitor, and evaluate 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.