Note: The job is a remote job and is open to candidates in USA. Confidential company seeking a Business Analyst to support complex technology initiatives in provider data and enrollment operations. The role serves as a liaison among business, operational, technical, testing, and project stakeholders while eliciting, documenting, validating, and managing requirements through solution delivery, testing, and implementation.
Responsibilities
- The Business Analyst (BA) serves as the liaison among client and business stakeholders, leadership, functional subject matter experts, project management, testing teams, and technical teams
- The BA is responsible for eliciting, analyzing, documenting, validating, and managing business and system requirements for assigned initiatives and operational changes
- Supports Provider Data Maintenance, provider enrollment, re-enrollment, revalidation, recredentialing, provider disclosure, taxonomy, portal, and related interface initiatives
- Provider enrollment and maintenance workflows
- Revalidation, recredentialing, screening, affiliations, and ownership information
- Provider taxonomy and program relationships
- Provider portal, letters, forms, and external data exchanges
- Document provider business rules and workflow changes
- Map provider-data and interface impacts
- Define portal, notice, form, and batch requirements
- Coordinate Provider Operations, technical, interface, and testing validation
- Facilitate discovery and requirements sessions with client, business, operational, and technical stakeholders
- Document business, functional, system, interface, reporting, operational, and acceptance requirements
- Develop process flows, use cases, business rules, decision points, acceptance criteria, and traceability artifacts
- Identify scope boundaries, assumptions, dependencies, risks, policy questions, and cross-domain impacts
- Ensure requirements are complete, understandable, testable, reviewed, and approved
- Partner with TFALs, architects, developers, testers, project managers, and subject matter experts to evaluate solution options
- Support Change Request and Change Order analysis, clarification, estimation, sequencing, and readiness activities
- Maintain alignment between the approved business need, requirements, solution, testing, and implementation
- Escalate unresolved requirements, decisions, risks, and dependencies through the appropriate delivery channels
- Engage testing resources early and support test planning and User Acceptance Testing preparation
- Review scenarios, test cases, expected results, defects, and outcomes for alignment with approved requirements
- Support business validation, implementation readiness, stakeholder communications, and post-implementation review
- Serve as a clear communication bridge between client and business stakeholders and delivery teams
- Facilitate productive workshops, reviews, and decision-making discussions
- Document decisions and communicate impacts, risks, assumptions, dependencies, and required actions
- Build effective working relationships across functional domains and shared-service teams
Skills
- Five or more years of Business Analysis experience, or equivalent experience supporting complex technology initiatives
- Strong requirements elicitation, analysis, documentation, facilitation, and validation skills
- Working knowledge of system development lifecycle and change-delivery practices
- Ability to work independently in a complex, client-facing environment
- Strong analytical, problem-solving, written communication, verbal communication, and stakeholder-management skills
- Understanding of testing methodologies, requirements traceability, and business validation
- Medicaid, healthcare, or government-program experience preferred
Benefits
- Remote work arrangement
- Medical benefits
- Dental benefits
- Vision benefits
- Dependent care flexible spending account
- 401(k) plan
- Voluntary life, short-term disability, whole life, term life, accident, and critical illness coverage
- Employee assistance program
- Sick leave in accordance with regulation
Company Overview