Senior MMIS Business Analyst | Onsite

• 7 years of experience as a Senior Business Analyst with 3 years working on business process modelling and management.5 years of experience in MMIS or domain knowledge of Medicare, Medicaid or with a major health care payer.
• 2 years of experience with multi-vendor project.
• Expert/Advance experience in using Visio, MS Project, Office 365, Webex/Teams.

• Bachelor's degree in business administration or another related field. Equivalent work experience may be substituted for a degree.
• Preferred Skills
• 10 years of experience as a Senior Business Analyst with 3 years working on business process modelling and management.
• 5 years of experience in MMIS or domain knowledge of Medicare, Medicaid or with a major health care payer
• 2 years of experience at large multi contractor organizations, including leading centralized or matrixed teams.
• 3 years of experience as a technical writer
• Expert/Advanced knowledge of all Microsoft Office products including MS Project and SharePoint.
  
  1 Can you provide your experience working with Medicaid programs?
  The state?
  The timeframe?
  The project/functional area?
  2 What does the following acronyms stand for?
  EPSDT
  TPL
  MAR
  3 Please rate your knowledge with the following areas of the MMIS (1-know what it means 10-expert level knowledge) & provide a brief description of the areas.
  Recipient
  Provider
  Reference/Benefit Plans
  Claims
  Prior Authorization
  Financial
  Drug Utilization Review
  Case Management
  Medical Services
  Drug Rebate
  Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
  Long Term Care (LTC)
  Third Party Liability (TPL)
  Surveillance Utilization Review (SUR)/Program Integrity (PI)
  Management and Administrative Reporting (MAR)
  Recipient Accounts Receivable
  Decision Support System (DSS)
  Web services
  Automated Voice Response Systems
  HIPAA x-12 transactions (please rank knowledge 1-10 and define how each transaction is used)
  270/271
  278
  820
  834
  835
  837-I/D/P
  NCPDP
  4 Did you have experience working with a Fiscal Agent or other vendors that were providing service to State Medicaid program?
  5 What are the area in Medicaid that you have been involved in , such as claims processing, eligibility determination, or provider enrollment?
  6 How do you gather and document business requirements for Medicaid projects?
  7 What software tools or technologies are you proficient in using, including any experience with specific Medicaid-related software?
  8 Is the candidate able to understand the question and provide the relevant answers?
  9 Is the candidate able to communicate fluently in English?
  10 Is the candidate the actual person speaking?

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