Business Analyst - Medicaid Eligibility Systems jobs in United States
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Staffing Solutions Organization LLC · 1 month ago

Business Analyst - Medicaid Eligibility Systems

Staffing Solutions Organization LLC (SSO) is focused on delighting clients with world-class managed staffing and talent consulting services. The incumbent will provide support for activities related to the implementation of the new eligibility system for New York’s Complex Medicaid population and the new appeals management system, acting as a liaison between the policy team and stakeholders to develop system requirements.

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Comp. & Benefits
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Responsibilities

Act as a liaison with the policy and legal departments to coordinate the implementation of State and Federal initiatives
Work with teams of vendors, DOH staff and other stakeholders as needed (e.g. issuers, application assistors) to elicit, document, analyze policy, and develop business needs and requirements
Interpret guidance and instructions related to Medicaid eligibility, enrollment, appeals processes, and notices from a requirements perspective; perform analysis for bureau and division-level staff; and make recommendations for improvement
Follow up with DOH subject matter experts (SMEs), system vendors and other stakeholders as needed to resolve requirement questions and identify where gaps may occur
Review requirements documentation and validate requirements with policy, systems and/or vendor staff as needed
Assist in the development of policies; recommend modifications as needed to procedures and reporting systems for implementing programs and programmatic changes
Attend and participate in the Critical Thinking Meetings and Joint Application Development sessions
Perform end user testing activities for the new eligibility system for New York’s Complex Medicaid population, and the new appeals management system
Assist with the coordination of tasks related to training, communications, and operational readiness for the new eligibility system and the new appeals system

Qualification

Medicaid eligibility knowledgeRequirements documentationPolicy analysisEnd user testingProject managementCritical thinkingCommunication skillsTeam collaboration

Required

8 years of professional experience

Preferred

Knowledge of New York public health insurance program eligibility and enrollment policies
Demonstrated ability to manage multiple priorities and meet deadlines
Experience with the development of websites, program applications, databases, other program tools, and requirements documentation and elicitation

Benefits

Health, vision, and dental insurance
401(k) with discretionary employer match
Paid time off and holidays
Flexible spending accounts
Other Perks

Company

Staffing Solutions Organization LLC

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Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services.

Funding

Current Stage
Early Stage
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