Senior Business Analyst - Medicaid Part D - Judge Group

Job Title: Senior Business Analyst - Medicaid Part D

Location: Remote (1x per month in Eagan, MN)

Duration: Contract 

Responsibilities:

• Act as a liaison between customers, vendors, and the IT Solutions development team for medium to large projects involving Medicare Part D and Medicaid.
• Translate business processes, both existing and new, into technical requirements, including metadata profiling, understanding SDLC, and ELT processing.
• Collaborate with multifunctional teams to interpret and implement CMS Medicare Part D guidance into technical requirements.

Key Skills:

• Communication: Clear and concise verbal and written communication.
• Technical: Simplify and convey technical information in a user-friendly manner.
• Organizational: Gather, categorize, and prioritize information effectively.
• Interpersonal: Facilitate discussions and translate information for upper management and cross-functional teams.
• Management: Negotiate priorities and resolve conflicts among stakeholders in various project phases.
• Independent Management: Handle multiple tasks or high-priority projects with minimal supervision.
• Leadership: Define and streamline business processes and system enhancements within organizational policies and tools.
• Consultation: Resolve application issues, recommend work priorities, and propose alternative solutions.
• Analytical: Participate in mathematical modeling, algorithm design, metadata analysis, and risk assessments in collaboration with business stakeholders.
• Mentorship: Guide Enterprise IS Business Analysts in requirements gathering, documentation, problem-solving, and customer/vendor management.
• Deadline Management: Meet deadlines and prioritize timelines effectively.

Qualifications:

• Bachelor’s degree with 5+ years of related experience, or 9 years of related experience in lieu of a degree.
• Advanced collaboration, interpersonal, oral, and written communication skills with a proven track record of professional communications at all management levels.
• Advanced research, analytical problem-solving, algorithm development, and process improvement skills.
• Project management proficiency with Microsoft tools (Word, Visio, Excel, PowerPoint, O365, JIRA).
• In-depth understanding of the healthcare industry, Medicare Part D rules and regulations, Medicaid services, claims adjudication, CMS guidance, and PDE data lifecycle.
• Proficiency with SSMS, SQL, SAS EG, Text Editor, and UAT functions.
• Availability for occasional evening, night, or weekend hours during the AEP season and surrounding months.

Preferred Skills:

• Working knowledge of SAP and understanding of the software development lifecycle for various data formats.
• High integrity and a “can-do” attitude, with the ability to motivate and inspire cross-functional teams.
• Decision-making skills using data, identifying process improvements in an agile environment, and implementing necessary changes.
• Familiarity with serverless computing services, particularly Microsoft Azure.