Business Analyst

EOHHS • Quincy, MA

1d • Hybrid

About The Position

EOHHS is seeking a Business Analyst to join its collaborative Medicaid Management Information System (MMIS) team. The role supports established Provider Reimbursement and Claims processing functional areas, including development, testing, and implementation of projects and enhancements that meet MassHealth program objectives, particularly projects supporting the member community. The Business Analyst applies knowledge of health plan management, operational concepts, and the systems development lifecycle to ensure work in the assigned functional area is compatible with the MMIS system. The role’s primary responsibility is to ensure implemented coding schemes meet business requirements and comply with applicable federal and state laws.

The Business Analyst participates throughout project phases, including gap analysis, requirements gathering, design and development, documentation, testing, implementation, and stabilization. The position involves independent work, collaboration with project teams and business stakeholders, and interaction with vendors and external organizations. The primary work location is 100 Hancock Street, Quincy, Massachusetts 02171. The schedule is Monday through Friday, 9:00 a.m. to 5:00 p.m., under a hybrid model combining in-office work and work from home as needed. Schedules may change based on business operational needs.

Requirements

• Bachelor’s degree or higher in Business, IT, or Healthcare Administration with a minimum of 3 years of experience, or equivalent experience in a healthcare administration setting.
• Excellent communication and documentation skills.
• Excellent interpersonal skills to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users and stakeholders, data processing personnel, and representatives from external agencies and companies.
• Demonstrated ability to work independently and within project teams while providing relevant systems analysis services.
• Highly analytical, with the ability to independently analyze, document findings, and recommend solutions.
• Knowledge of the entire scope of the healthcare business sufficient to ensure functional-area development and testing are compatible with MMIS.

Nice To Haves

• Experience with Medicaid systems, claims, and business knowledge of the MassHealth program is preferred.
• Knowledge of SDLC and Agile methodology.
• Proficiency in business analysis supporting all stages of the system project lifecycle.
• Competency in HIPAA claims and payment transaction processing.
• Strong data analysis skills and SQL proficiency.

Responsibilities

• Lead and participate in joint application design sessions with stakeholders.
• Develop test strategies, scenarios, and cases based on written requirements.
• Execute and review test runs and sign off on testing components.
• Document requirements and participate in their development and testing.
• Support the development of end-user training materials and documentation as required.
• Possibly oversee stabilization activities for releases, including monitoring system change execution, developing system-fix strategies, and monitoring implementation of those strategies.
• Work with vendors to ensure business requirements are fully defined and tested.
• Communicate updates and changes to impacted stakeholders.
• Represent MMIS in business meetings as needed.
• Support program staff, vendors, and other stakeholders with MMIS-related questions or concerns.
• Provide backup to other business analysts as needed.
• Perform data queries and analysis.

What This Job Offers

• Job Type: Full-time