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Business Analyst

Company: Experfy
Location: Quincy
Posted on: May 13, 2022

Job Description:

This position is a Business Analyst on the Member/Managed Care team. The Business Analyst (BA) serves as a liaison between the business community, the software quality assurance team, project management office and the technical development team and, as such, should be well versed in health plan management, operational concepts and the Project Development Life Cycle.



  • The BA's primary responsibility is to ensure that the implemented changes and new initiatives meet the requirements of the business community and conform to all applicable Federal and state laws.
  • The BA must have sufficient knowledge of the entire scope of the health care business to insure that the development work within their functional area is compatible with the Medicaid Management Information System (MMIS) as a whole.
  • The BA is an active member in all phases of the project including: requirements gathering, design and development activities, testing, implementation, and ongoing operation.
  • The ideal candidate will have a background that includes expertise in member eligibility.

    • Bachelor's degree with a major in Computer Science or equivalent experience
    • Experience in the following is highly desired:
      • - the primary requirement for this position is to support ongoing operations and resolve any member data issues reported by users - Development and execution of test plans and cases
        • Ability to write clearly and concisely, and to communicate effectively and interact professionally with a diverse group including users, peers, managers, and subject matter experts.
        • Strong analytical and project management skills required, including a thorough understanding of how to interpret customer business needs and translate them into application and operational requirements.
        • Ability to interpret and use data in problem solving and process improvement.
        • Knowledge of the Medicaid program and particularly of member eligibility.
        • Familiarity with Medicaid and/or Medicare data.
        • Ability to work both independently and collaboratively.
        • Ability to manage time, to set priorities, and to work under time constraints.

Keywords: Experfy, Quincy , Business Analyst, Professions , Quincy, Massachusetts

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