Demo

Medicaid Business Analyst

Info Matrix Corp
Harrisburg, PA Full Time
POSTED ON 1/13/2025
AVAILABLE BEFORE 4/13/2025

Info-Matrix Corporation is currently seeking a skilled Medicaid Business Analyst to join our team! This role focuses on solving organizational problems by analyzing processes, workflows, and systems with the objective of identifying opportunities for either improvement or automation. Using their expertise and knowledge of Medicaid, the BA works with all levels of management to gain an in-depth understanding of the project strategy and services.

Duties and Responsibilities

  • Experience as a consultant and a leader to drive change and be able to work in a high intensity, high producing work environment.
  • Improve, execute, and effectively communicate significant analyses that identify meaningful trends and opportunities across the business.
  • Participate in regular meetings with management, assessing and addressing issues to identify and implement improvements toward efficient operations.
  • Provide strong and timely financial and business analytic decision support to business partners and various organizational stakeholders.
  • Develop actionable roadmaps for improving workflows and processes and establish and organize KPIs in line with global directives.
  • Comply with all federal, state, and local legislation.
  • Interpret data, analyze results using analytics, research methodologies, and statistical techniques.
  • Develop and implement data analyses, leverage data collection systems and other strategies that optimize statistical efficiency and quality.
  • Act as a liaison between staff and management, analyzing and interpreting data involving company procedures, policies, and workflows.
  • Prepare, analyze, and summarize various weekly, monthly, and periodic operational results for use by various key stakeholders, creating reports, specifications, instructions, and flowcharts.
  • Conduct full lifecycle of analytics projects, including pulling, manipulating, and exporting data from project requirements documentation to design and execution.
  • Run JAD sessions, business flows and focus on technical integration points between vendors.
  • Translate traditional BA requirements in to procurement documents.
  • Work with testing teams.
  • Experience with rollout and change management.
  • Evaluate key performance indicators, provide ongoing reports, and recommend business plan updates.

Preferred Experience

  • Electronic Visit Validation (EVV)
  • Medicaid Provider / Provider Enrollment / Provider Management operations.
  • Market solution for Medicaid Provider / Provider Enrollment.
  • Experience with Medicaid Management Information System (MMIS).
  • Knowledge of claims and T-MSIS reporting.
  • Qualifications

  • Bachelor's Degree (preferred)
  • Medicaid experience / exposure required.
  • Advanced analytical skills with experience collecting, organizing, analyzing, and disseminating abundant information with accuracy.
  • The ability to write reports.
  • Exceptional verbal, written, and visual communication skills.
  • Experience with managing budgets (preferred).
  • The ability to present findings in a polished way (preferred).
  • Entrepreneurial mindset, with an innovative approach to business planning (preferred).
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