Red Zone Resources Inc.

Medical Policy Business Analyst

  • Red Zone Resources Inc.
  • Remote
  • 22 days ago

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Job Description

**·Attend meetings to stay informed of current activities in Medicaid.

 

Skills Required/Desired:

Prior state government/public sector experience with health and human services programs (such as Medicaid)Required3Years

Proficient use of project collaboration and tracking tools (Microsoft Project Suite, MS Teams, Zoom, etc.)Required5Years

Strong analytical, problem-solving, and critical-thinking skills.Required5Years

Proven experience as a Business Analyst or in a related role with experience executing against multiple priorities/projects.Required5Years

Demonstrated stakeholder engagement and collaboration experience. Ability to collaborate effectively with cross-functional teams.Required4Years

Prior APD, Budget, and/or Medicaid Detailed Budget Summary Table (MDBT) experience.Highly desired2Years

Proven experience as a Business Analyst or in a related role.Required5Years

Excellent communication and interpersonal abilities.Required5Years

 

Description: 

The primary role and responsibility of the BA is to work alongside the Budget Manager and APD Manager to provide support in the development of APD budget and documentation. The BA will collaborate with internal and external stakeholders, project teams, technical teams, vendors, contract and budget offices, and other key stakeholders to develop APD budgets required by Centers of Medicaid and Medicare Services (CMS). The BA must be able to take complex concepts and convert them into easily understood written documentation such that the content ensures successful system certification and compliance consistent with program management guidelines and processes and CMS expectations.

 

Essential Responsibilities:

 

·Work closely with business stakeholders to understand their needs, objectives, and challenges.

·Elicit, document, and analyze business requirements, processes, and workflows. Translate business requirements into clear and concise functional specifications for technical teams.

·Coordinate and meet with various teams, suppliers legal, and key stakeholders to support the gathering, analysis, and finalization of information to obtain final sign-off for the Medicaid Detailed Budget Summary Tables (MDBT).

·Work alongside the business units, Medicaid Enterprise System (MES) project teams, technology teams, and subject matter experts to gain an understanding of project and related requirements to develop an appropriate MDBTs.

·Facilitate the Medicaid Detail Budget Summary (MDBT)review meetings with key stakeholders.

·Communicate complex technical concepts to non-technical stakeholders.

·Present findings, recommendations, and project updates to various audiences.

·Collaborate with project managers to define project scope, objectives, and deliverables

·Utilize tools, templates, and developed methods to keep abreast of project activities across the program.

·Ability to exercise communication skills in both written and verbal means to take complex concepts and convert into easily understood written documentation.

·Organize material and complete writing assignments according to agency standards regarding order, clarity, conciseness, style, and terminology.

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