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Business Analyst ( Medicaid ) - Immunization Registry

5 - 7 years

7 - 10 Lacs

Posted:2 months ago| Platform: Naukri logo

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Full Time

Job Description

Summary Your role in our mission Essential Job Functions Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities. Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates. Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design. Assists in developing and modifying systems requirements documentation to meet client needs. Participates in meetings with clients to gather and document requirements and explore potential solutions. Executes systems tests from existing test plans. Assists in analyzing test results in various phases. Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project. What we're looking for Job Description 5 or more years of experience in a relevant Business Analyst position with 3 or more years of Medicaid and Medicare experience preferred Knowledge of computer programming concepts such as configuration, development and batch processing Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools Strong client communication skills translating client needs to actionable objectives Strong analytical and business process re-engineering skills Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel A leader who motivates others to action and communicates key technical ideas in a digestible way Experience writing SQL queries for data analysis. Experience working with Medicaid/MMIS systems. Support the integration of immunization registries with Electronic Health Records (EHRs), Health Information Exchanges (HIEs), and Medicaid Management Information Systems (MMIS). Conduct gap analysis to identify system enhancements and compliance requirements for immunization data reporting. Gather, analyze, and document business and functional requirements for immunization registry solutions. Collaborate with Medicaid agencies, providers, and IT teams to design and implement data exchange processes. Define data standards and validation rules for immunization records exchanged between Medicaid systems and registries. Ensure compliance with Health Level Seven (HL7) standards for immunization data exchange (e.g., HL7 etc.,). Support data mapping, transformation, and validation between immunization registries and Medicaid systems. Act as a bridge between business users, IT teams, and Medicaid stakeholders to ensure clear communication of immunization registry needs. Provide training and support to Medicaid providers, payers, and public health teams on immunization registry usage and reporting. Preferred experience includes DDI (Design, Development, and Implementation) and operations phases. Experience processing Medicaid claims and ability to troubleshoot adjudication results. Demonstrated aptitude for learning new technologies and keeping current with industry best practices. Experience with Requirement Traceability Matrices. Ability to multi-task and maintain organization in a fast-paced environment. Ability to create and maintain highest levels of confidentiality when dealing with proprietary or private information. What you should expect in this role Fast-paced,challenging and rewarding work environment. Work life balance. Hybrid Office environment. Will require late evening work to overlap US work hours.

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Gainwell Technologies
Gainwell Technologies

Information Technology and Services

Los Angeles

approximately 5,000 Employees

202 Jobs

    Key People

  • Megan McMahon

    CEO
  • Michael Behm

    CFO

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