Business Analyst IV (Senior LTC Production Support BA)

TX-HHSC-DSHS-DFPS•Austin, TX

3d•$7,015 - $9,440•Hybrid

About The Position

The Medicaid and CHIP Services (MCS) department seeks a qualified technical candidate to fill the position of Business Analyst (BA) IV for the Long-Term Care Products (LTCP) unit. This position reports to the LTC Production Support Manager within the LTC Products and Business Automation Support (BAS) team. The BA IV position leads work on complex initiatives/escalations supporting LTC enrollment, service authorization, and claims. The position provides leadership on initiatives that may cross multiple program areas, teams, and vendors. The position oversees the work efforts of other resources performing business analysis tasks such as research, user acceptance testing, and implementation coordination. This position performs liaison activities bringing vendors, IT, Program, and Operational areas together to facilitate translation of business needs into system requirements. This position performs senior-level review of enhancement efforts to evaluate Production impacts and may perform Product Owner responsibilities in an Agile development environment for internal projects. The resource acts as a subject matter expert on LTC systems and team processes identifying opportunities for improvement and approving updates. When Production issues arise that impact multiple functions and stakeholders, this position helps coordinate and provide consultation to the vendors for resolution and communication.

Requirements

Knowledge of Texas Medicaid LTC systems
Knowledge of Information technology for business applications
Knowledge of Agile Methodology
Skill in Identifying business measures or indicators of performance.
Skill in Coordinating and solving complex problems.
Skill in Researching and remediating issues with member enrollment and authorization of LTC services.
Skill in Leading and supporting multiple projects including project planning, tracking, and coordinating project activities.
Skill in Developing business user requirements.
Skill in Conducting/reviewing user testing of automated systems.
Skill in Eliciting information to create user stories and groom the product backlog.
Ability to Plan, assign, and oversee the work of others.
Ability to Develop, evaluate, and interpret policies and procedures.
Ability to Work collaboratively across MCS to accomplish objectives.
Ability to Communicate effectively, both orally and in writing, with clients/customers to gather requirements and/or explain technical information.
Graduation from an accredited four-year college or university with major course work in a related field is generally preferred.
Experience working with HHSC Medicaid programs.
Experience in user acceptance testing.
Experience working in an Agile development environment.
Experience working with Texas Medicaid LTC systems.
Selected candidates must be able to work onsite in the Austin office as needed.

Nice To Haves

Out-of-state resumes will not be accepted.

Responsibilities

Oversees business analysis and research across multiple systems within BAS.
Performs senior-level research and analysis within LTC systems to identify, troubleshoot, and oversee resolution of issues that impact provider claims payments and service authorizations.
Verifies and approves proposed business requirements, scope, timelines, business plans, or enhancements for LTC systems.
Oversees and provides consult/feedback to other business analysts performing the daily operational business activities of monitoring the claims management systems, troubleshooting, and solving problems related to provider claims payments and service authorizations.
Communicates effectively to BAS, program staff, HHSC leadership, and other stakeholders on business needs and issues; and provides technical assistance to other teams.
Defines and enforces standards, policies, and procedures used by the team.
Mentors and coaches junior team resources.
Coordinates and approves user acceptance testing within LTC systems for CMD prior to completion and implementation of projects impacting LTC provider claims payments and service authorizations.
Oversee 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.
Oversees internal BAS or HHSC IT project coordination and leads business analysts on various initiatives and assigned projects.
Coordinates with state programs and vendors to determine priorities of project tasks, activities required to complete tasks, resource allocation for tasks, and critical impact on end users through risk analysis.
Anticipates and escalates risks and issues.
Plans scopes, develops benchmarks/timelines, consolidates business user requirements, and manages communications across MCS Operations and HHSC Programs.
Coordinates development of project work plans and supports all aspects of projects and/or assigned tasks according to scope, budget, and schedules.
Product Owners are responsible for overseeing the development and prioritization of user stories.
The Product Owner ensures that implemented features meet the business need.
Product Owners manage the product backlog.
Facilitates collaborative work across MCS to identify innovative and effective solutions for clients and staff.
Serves as a liaison between teams, vendors, BAS, program and policy areas, and HHSC IT.
Coordinates and facilitates the analysis and determination of business needs and requirements for enhancement projects and modifications to complex automated LTC systems and applications such as TMHP CMS, LTC Provider, SAS, and TMHP LTC Online Portal.
Coordinates with business analysts to meet with impacted business users to gather and document user needs and translates into business user requirements.
Reviews expected outcomes to ensure that desired system results are achieved.
Facilitates analysis meetings with business users to determine the business needs that can be translated into the business system requirements and works with business users to establish system modification priorities.