Note: The job is a remote job and is open to candidates in USA. Brooksource is seeking a Business Analyst to support its Medicaid Eligibility Compliance Program and HR 1 Implementation Project. The role translates federal policy requirements into business processes, system requirements, and operational solutions while supporting requirements management, process improvement, testing, documentation, and regulatory compliance.
Responsibilities
- Analyze federal legislation, CMS regulations, guidance, and state policy to identify impacts to Medicaid eligibility and enrollment processes
- Document current-state and future-state business processes
- Facilitate requirements gathering sessions with business and technical stakeholders
- Develop detailed business, functional, and operational requirements
- Create process maps, workflow diagrams, decision tables, and use cases
- Identify policy, operational, technology, and reporting impacts
- Support implementation activities associated with HR1 requirements, including:
- Work requirement verification requirements
- Periodic eligibility renewals and redeterminations
- Income and asset verification
- Citizenship and immigration verification
- Third-party data source integration
- Notice generation and beneficiary communications
- Compliance reporting and audit requirements
- Develop business requirements documents
- Develop functional requirements and user stories
- Maintain requirements traceability from legislation through implementation and testing
- Ensure consistency between policy decisions and technology implementation
- Prioritize requirements in collaboration with Product Owners and Program Leadership
- Identify opportunities to improve efficiency and reduce administrative burden
- Recommend process improvements using Lean and continuous improvement methodologies
- Support standardization across eligibility programs
- Evaluate automation opportunities
- Develop business test scenarios
- Review system test cases
- Participate in User Acceptance Testing (UAT)
- Validate implementation against business requirements
- Assist in defect triage and resolution
- Develop and maintain:
- Business Requirements Documents
- Functional Specifications
- Process Maps
- Decision Trees
- Business Rules
- Gap Analyses
- Impact Assessments
- Traceability Matrices
- Standard Operating Procedures
- Implementation Guides
Skills
- Knowledge of • Medicaid eligibility policy • Medicaid eligibility systems • Federal Medicaid statutes and regulations • HR 1 implementation requirements • CMS guidance and implementation processes • Business process analysis methodologies • Requirements elicitation techniques • Agile and Scrum methodologies • Business process modeling • Change management principles
- Ability to • Translate legislation into operational requirements. • Analyze complex business processes. • Develop clear and complete documentation. • Facilitate stakeholder meetings. • Resolve conflicting business requirements. • Think critically and solve complex problems. • Present recommendations to leadership. • Work effectively in cross-functional teams. • Manage multiple priorities in a fast-paced implementation environment. • Build collaborative relationships with internal and external stakeholders
- • Bachelor's degree in Business Administration, Public Administration, Health Administration, Information Systems, or a related field
- • Five or more years of business analysis experience
- • Experience supporting Medicaid eligibility systems or other public assistance programs
- • Experience implementing large-scale technology modernization projects
- • Experience interpreting federal or state policy requirements
Benefits
- Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs
- 401k plan that includes a company match and is fully vested after you become eligible
- Paid time off
- Sick time
- Paid company holidays
- Employee Assistance Program (EAP) providing virtual counseling, financial services, legal services, and life coaching
Company Overview
Company H1B Sponsorship