Business Analyst

Lumen Solutions Group Inc.•Austin, TX

4d•Remote

About The Position

The Business Automation Support unit within the Medicaid and CHIP Services (MCS) Department oversees Medicaid systems and related support activities. The unit provides oversight of long-term care (LTC) program systems, which support LTC providers for services delivered to individuals; modifications and updates to vendor systems; and encounter data and managed care organization (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). The organization 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, technical sprint teams, and business users to provide subject matter expertise, perform critical analysis, ensure requirements are gathered that meet 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 organization's desired operational and technical requirements. The worker will have considerable latitude to use their experience and judgment 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.

Requirements

8 Required Experience as a Business Analyst and Agile Product Owner
8 Required Experience utilizing the Agile software development methodology
8 Required Experience performing complex business analysis and writing technical documentation
8 Required Experience reporting project status to management including risks, issues, and key decisions
8 Required Experience identifying project risks and issues and developing/implementing mitigation strategies
8 Required Experience in effective general written/oral communication, including documenting requirements, deliverables, test scenarios, and project status
8 Required Experience utilizing business analysis skills and interacting with business end users to gather, validate, and document business requirements and translate them into technical solutions
8 Required Experience performing review and approval processes of complex technical user and system requirements written by vendors
8 Required Experience with Microsoft Office products (Teams, Word, Excel, PowerPoint)
8 Required Experience coordinating and developing test plans/strategies, exit criteria, and test scenarios
8 Required Experience executing detailed test cases within a complex software environment
8 Required Experience using testing management software
8 Required Experience with Microsoft Project or similar project management software
8 Required Experience approving and prioritizing user stories based on stakeholder feedback and subject matter expertise
8 Required Experience with Medicaid systems and processes
8 Required Experience in claims processing

Nice To Haves

4 Preferred Knowledge of Medicaid programs
2 Preferred Experience with the Provider Enrollment and Management Systems project

Responsibilities

Analyzes program policies, procedures, and processes to determine the impact on business systems and functional areas.
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.
Works with program area staff to solicit, analyze, and document business processes and requirements.
Acts as a liaison between internal staff and vendors to translate operational and business requirements.
Serves as the Product Owner for an Agile team, including working with Agile/Scrum teams of contracted software vendors to implement system changes.
Analyzes and writes User Stories with Acceptance Criteria based on business needs and according to the Agile methodology.
Develops and maintains business user test scenarios and participates in systems and user acceptance testing.
Creates use case scenarios, test plans, and exit criteria that accurately map back to the documented business requirements or user stories.
Reviews, analyzes, and executes test cases with a formal testing tool.
Tracks, documents, and reports the status of testing.
Evaluates proposed test strategies to ensure appropriate test coverage.
Identifies potential project risks and issues and develops mitigation strategies.
Reports project status to management on established timelines.
Documents action items and business decisions.
Conducts meetings and/or presentation tasks as needed.
Manages schedule for deliverables as established.
Other duties as assigned related to PEMS projects.