Medicaid Provider Systems Implementation Analyst - (MMIS Business Analysis)

Maximus
San Diego, US
$145K a year
Full-time
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Description & Requirements Maximus Enterprise Services division is seeking a Medicaid Lead Analyst. The candidate must have a minimum of 5+ years (5-10 preferred) of provider business operations and / or implementation with Medicaid Enterprise Systems.

Also the candidate must have a minimum of 3 years of experience with MITA architecture, preferably Provider Enrollment and Provider Management business processes.

Essential Duties and Responsibilities : - Develop and maintain effective processes for managing requirements, developing business processes, and providing production support to the operation.

  • Lead and implement the design, analysis, interpretation and evaluation of a variety of reports, internal / external resource documents and surveys.
  • Lead and own activities related to Business Requirement Documents process. - Analyze existing systems, programs, policies, and organizational processes and recommend enhancements and improved solutions.
  • Design and implement process improvements that enhance customer service and optimize business operational efficiency and quality.
  • Conduct statistical analyses and evaluates a wide variety of information to assess operational difficulties and develop solutions to complex problems, including escalated issues Independently develop and implement modeling and evaluation processes to determine the effectiveness of current operational activities.
  • Provide oversight and perform research and gap analysis to determine and improve effectiveness of all operational documentation.
  • Serve as a liaison between business ops and system team for the planning, implementation and maintenance of programs and contractual changes.
  • Communicate status, risks, and issues to the Systems Analysis and Design Director, senior management and / or the client, as appropriate.
  • Monitor BA activities with the Systems Analysis and Design Director to ensure that all business analysis activities are allocated appropriately and executed as planned.
  • Ensure all business requirements and business processes are adequately documented. - Lead cooperative efforts among members of a project team.
  • Manage efficient execution of business meetings with internal project staff, client staff, and / or project vendors. - Act as advisor to project team members to resolve problems.
  • Provide support to operation senior staff, division managers and program managers. - Develop high quality communications suitable for clients.
  • Work effectively with internal and external business partners in the delivery of solutions. - Maintain extensive and comprehensive working knowledge of all assigned programs and projects.

Minimum Requirements Minimum Requirements : - Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience.

EEO Statement Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.

We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country.

We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.

A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action / Equal Opportunity Employer.

Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards.

Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.

Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience.

An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Annual Base Pay Minimum for this Position $ 90,000.00 Annual Base Pay Maximum for this Position $ 145,000.00 *

5 days ago
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