Senior Business Analyst

Overview of job

The Senior Business Analyst will support the client’s contractors with obtaining CMS certification of the Medicaid Enterprise Systems (MES). As the various MES components become operational, successful completion of the CMS Federal certification process of the MES will require the evaluation and validation of the subsystems to ensure attainment of CMS certification for the client to continue to receive Federal Financial Participation (FFP).

Job Responsibilities

• Review, evaluate and validate mandatory MES systems and subsystems to determine compliance with core CMS Federal certification requirements
• Coordinate certification activities with client’s contractors and staff
• Establish checklists for CMS onsite visits
• Attend meetings with client and CMS staff. Prepare agenda, meeting notes, decision lists and follow up action items
• Support of CMS Federal certification review team/CMS Regional Office staff briefings and pre-certification meetings and calls
• Affirm preparations for CMS on-site visits
• Analyze data, reports, and deliverables, as needed
• Afford assistance with resolution of any CMS Federal certification issues
• Review of CMS Federal certification report(s) and provide additional guidance to Department and its Contractors
• Afford support for the preparation of Department responses to CMS
• Ensure all current and future CMS policies and requirements are met for system testing and attestations, as required
• Track T-MSIS compliance, and report any issues, risks, and mitigation plans in QA status reports and proactively notify the client of any concerns
• Review all the Federal rules governing the T-MSIS data submission and provide actionable plans to the Department to ensure that the compliance status is maintained

Required Qualifications

• Minimum eight (8) years of experience fostering strong working, business partnering relationships and communication with clients, key internal and external stakeholders and executive staff; ensuring teams are aware of CMS policies
• Minimum three (3) years of experience implementing the CMS certification process on Medicaid programs with deep understanding of CMS policies and how they impact systems
• Minimum five years of experience managing requirements
• Minimum five years of experience preparing Business Process Design documentation using BPMN 2.0 and related models
• Minimum five years of experience working with teams of five or more staff
• Minimum five years of experience with business process models and/or use cases
• Bachelor’s degree in information technology, Business Administration or similar field

Where required by law

• This position requires 50% onsite, so local candidates required.

Preferred Skills

• Eight years of experience in IT business analysis, testing, project management, or QA services
• PMI-PBA, CBAP, or equivalent certification
• Certifications in Lean Six Sigma, Agile, PDCA, or Kanban
• Three (3) years of experience with highly integrated, large-scale integrated Medicaid systems
• Two years of experience in a healthcare or insurance domain