Business Systems Analyst IV - Medicaid FFS

MedImpact Healthcare Systems, Inc.; EUA; Presencial; USD 96 000 - 170 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical / Dental / Vision / Wellness

Paid Time Off / Holidays

Incentive Compensation

401K with Company match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Resumo da oferta

MedImpact Healthcare Systems, Inc. in the United States seeks a Business Systems Analyst IV, Medicaid FFS, to bridge end-users and IT by analyzing complex systems and translating needs into precise specifications.

You will drive projects, document requirements, and collaborate with cross-functional teams to deliver solutions aligned with Medicaid FFS strategies. This exempt, on-site role offers growth and impact within a leading PBM.

Qualificações

• BS/BA and 6+ years’ experience in relevant areas.
• Experience with Medicaid or PBM environment preferred.
• Certified Business Analysis Professional (CBAP) preferred.
• Experience with SDLC and project leadership.

Responsabilidades

• Interview end-users to define complex business requirements.
• Translate requirements into functional specs.
• Lead design sessions with business and technical resources.
• Define and document requirements and business rules.
• Develop project plans, prioritize tasks, and report progress.
• Ensure on-time, on-budget delivery and QA support.

Conhecimentos

End-user interviews

Requirements translation

SDLC knowledge

Agile & Waterfall

Project planning

Negotiation skills

Use case modeling

Swimlane diagrams

Formação académica

BS/BA + 6+ yrs

Ferramentas

Visio

Microsoft Office

Oracle DB

Oracle SQL

Relational DBs

Descrição da oferta de emprego

Exemption Status

United States of America (Exempt)

$95,717 - $132,808 - $169,898

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Summary

Job Description

The Business Systems Analyst IV, Medicaid FFS is a liaison between end-users/clients and the Information Technology department. The position is responsible for reviewing, analyzing, and evaluating the more complex business systems and user needs. Formulates systems to parallel overall business strategies; writes detailed description of user needs, program functions, and steps required to develop or modify computer programs.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Interviews end-users/customers to define business requirements for complex software modifications and enhancements. Meets with external clients to discuss enhancement requests as needed.
• Translates business requirements by reviewing, analyzing and evaluating needs into functional specifications. Coordinates and responds to requests for changes from original specifications.
• Facilitates design sessions with the business and technical resources to ensure that the solutions meets the needs of the business. Consults with technical teams on design and database issues.
• Defines and documents requirements business rules to assist in the development of software specifications to include system requirements, flow charts, report mock-ups, and business rules.
• Drives and/or leads projects to completion for assigned projects. Develops project plans, prioritize project tasks, and provides regular status updates on project progress to management and stakeholders.
• Develops business processes that ensure developed application meets all project requirements. Ensures that projects are completed on time, accurate to defined specifications and within budget.
• Performs quality control checks on software before it is released to the QA department. Provides support to software development and QA staff as needed.
• Handles, prioritizes and manages multiple Service Requests (SR’s) throughout entire software development life cycle. Handles software release management of designated applications.
• May mentor and provide functional work direction to less experienced Business Systems Analysts.

Supervisory Responsibilities

No supervisory responsibilities

Education And/or Experience

BS/BA and 6+ years’ experience or equivalent combination of education and experience, and 2 years of SME in respective areas. Prior experience working in with Medicaid, preferably Fee for service in a Pharmacy Benefit Management (PBM), Health plan, state health agency or related consulting environment is required.

Computer Skills

To perform this job successfully, an individual should have knowledge of: Visio, Microsoft Office (Outlook, Word, Excel, PowerPoint). Proficiency with Oracle database and Oracle SQL; On-line transaction processing (OLTP), Experience with relational databases and client server concepts.

Certificates, Licenses, Registrations

None Required; Certified Business Analysis Professional (preferred)

Other Skills And Abilities

• Working knowledge of software development life cycle (SDLC).
• Good understanding of supported MedImpact products and services from a business and technical perspective.
• Experience with both Agile and Waterfall methodologies
• Good project planning skills (creation and definition)
• Negotiation skills
• Business requirements gathering and elicitation techniques
• Use Case Modeling & Solutions requirements
• Activity and Swim Lane Diagrams
• Conflict management skills
• Leading and facilitating meetings
• Interviewing skills to understand customer needs
• Good interpersonal and communications skills (written/verbal)

Reasoning Ability

• 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.

Mathematical Skills

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Language Skills

• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Competencies

Composure

Decision Quality

Organizational Agility

Problem Solving

Customer Focus

Drive for Results

Peer Relations

Time Management

Dealing with Ambiguity

Learning on the Fly

Political Savvy

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

Work Location

This position must work on-site at the San Diego Headquarters for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders. Remote work is not an option for these purposes.

Working Hours

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.

Travel

This position requires no travel, however attendance may be required at various local conferences and meetings.

The Perks

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

Osha/Ada

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.