-Senior Business Analyst (Medicaid - Core Claims) - (Remote Position)

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Posted 5 days ago United States Salary undisclosed
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Job Description


The Senior Business Analyst is responsible for analyzing business problems, identify gaps, and develop technical solutions involving complex information systems under no supervision for one or more systems such as Claims, Benefits Administration, Member Eligibility, Provider Enrollment, Prior Authorization, Third Party Liability (TPL) and Contracts Managed Care. This role involves managing requirement scope, determining appropriate methods on potential assignments, and serving as a bridge between information technology teams and the client through all project phases; provide day-to-day direction on State program activities.

Working remotely within the United States is acceptable for this position.

***In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States, and to complete the required employment eligibility verification at time of hire or transfer.
CNSI will not sponsor new employment visa petitions.

Job Responsibilities:

  • Works with customers on presenting technical solutions for complex business functionalities

  • Possesses unwavering commitment to customer service and operational excellence

  • Provides customer support through leading client demos and presentations

  • Prioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phases

  • Creates and modifies Business Process Models

  • Understands the overall system architecture and cross-functional integration

  • Demonstrates in-depth knowledge of business analysis relates to Core Claims to ensure high quality

  • Demonstrates advanced expertise and contributes to the Business Analysis practice by publishing technology points of view through the creation of white papers

  • Possesses in-depth knowledge and is well-versed in multiple functions or capabilities

  • Uses cases, workflow diagrams, and gap analysis to create and modify requirements documents and design specifications

  • Analyzes user requirements and client business needs, leveraging expert opinion and expertise

  • Acts as the requirements subject matter expert and supports requirements change management

Experience/Preferred Skills Required:

  • Minimum 5 years of experience on large complex project Domain knowledge of Medicare Medicaid and/or healthcare verticals

  • Strong knowledge in Medicaid Management Information System around Claims processing and related subsystem

  • Excellent customer relation skills including presentation and meeting facilitation

  • Experience facilitating and running JAD requirements design sessions etc.

  • Excellent requirements elicitation and validation skills

  • Bachelor's Degree

  • Preferred Skills:

  • Strong knowledge and proficiency in SQL.

  • Knowledge of Quality-of-Care program is highly preferred.

  • Knowledge of data integration and software enhancements/planning.

  • Master's Degree


About Us:

At CNSI, we strive to be the market leader and most trusted partner for innovative and transformative technology-enabled solutions that improve health outcomes and reduce costs. We're passionate about helping our clients improve the health and well-being of individuals and families. We succeed when our clients succeed.

Innovation and commitment to our mission are core to our DNA. And through our shared values, we foster an environment of inclusion, empowerment, accountability, and fun! You will be offered a competitive compensation and benefits package.

CNSI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status or any other status protected by applicable Federal, state, or local law. We are proud of our diversity and encourage all qualified applicants to apply.LI

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)