Client Services Business Analyst, Medicaid Fee-for-Service III

MedImpact•San Diego, CA

1d•Onsite

About The Position

MedImpact Healthcare Systems, Inc. is seeking innovative professionals to join their team. The company focuses on delivering leading-edge pharmaceutical and technology-related solutions to improve healthcare value. They aim to provide superior outcomes through innovative products, systems, and services that promote transparency and choice. Their vision is to set the standard in optimizing satisfaction, service, cost, and quality in the healthcare industry, positioning themselves as the premier Pharmacy Benefits Management solution.

Requirements

Bachelor's degree from four-year college or university and four (4) years of Business System Analysis experience required in Pharmacy Benefit Management (PBM), Pharmacy, Managed Healthcare or similar role; or an equivalent combination of education and experience.
Prior work experience supporting CMS initiatives is required, preferably with Medicaid programs (State FFS program, Medicare/Medicaid Program (MMP), or Medicaid Managed Care (MMCO).
Strong proficiency with MS Office / Word, PowerPoint, Excel, Visio and Outlook to create complex documents, manage schedules, and analyze data.
Business user of multiple software applications/processing systems.
Working knowledge of key business application such as SQL coding, Oracle forms, Golden 32, MedOptimize, Visio, knowledgeable of UNIX operating systems.
Ability to effectively balance a high volume of work and a variety of tasks; ability to prioritize urgent issues effectively.
Strong analytic, verbal and written communication skills.
Detail-oriented with high degree of accuracy and organizational skills.
Able to effectively work as a team player as well as independently.
Excellent investigative, problem resolution, judgment and decision-making skills required.
Excellent presentation and consultative skills, working with internal and external clients at various levels in the organization.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Ability to work with mathematical concepts such as probability and statistical inference.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Nice To Haves

None currently required.

Responsibilities

Collaborates with internal and external stakeholders to create best-in-class solutions that integrate technology, information, and business processes.
Matches appropriate technology solutions to business needs.
Identifies, plans, develops, implements, and maintains business systems solutions that support client operational needs.
Maintains current understanding of client file layouts, relationships, & logic and how they operate in MedImpact business applications.
Provides technical consultation to the client team and related internal stakeholders.
Writes detailed descriptions of user needs, program functions, and steps required to develop or modify business systems.
Translates requirements into business, system & functional requirements and partners with IT Developers in translating requirements into design specifications.
Develops queries to research, gather data and identify solutions.
Performs various types of analysis related to business and system changes/enhancements (gap, impact, risk etc.).
Actively participates in the creation and monitoring of service and trouble requests from creation to implementation.
Creates and maintains related documentation/material pertinent to identified changes, such as work, data or process flows, analytical reports, decision support structures, use cases, as well as business rules, report design/mock-ups, etc.
Ensures that the systems section of the client MedManual is current and properly documented.
Creates and maintains project plans including task identification, prioritization, and sequencing of project tasks, test plans, and user acceptance testing.
Participates in developing and executing communication and training plans relevant to implemented changes.
Utilizes planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve reporting timeliness and accuracy.
Maintains commitment to operational goals in the face of obstacles.
Collaborates and cultivates positive relationships with internal and external customers through delivery of sustainable, measurable, accurate, reliable, and timely results that meet or exceed customer expectations.
Promptly responds to service failures, resolves issues, and escalates concerns as appropriate.
Promotes continuous improvement by ensuring adherence to quality principles.
Seeks out and actively participates in business initiatives that contribute to service excellence.
Actively participates in continued professional development to stay up to date on the latest technical and information management enhancements and data management best practices.