Medicaid Business Analyst

Medicaid Business Analyst

02 Sep 2022
Texas, Austin, 78753 Austin USA

Medicaid Business Analyst

Vacancy expired!

Client: State of TX
Job ID: 529310146
Respond by : 09/01/22
Rate: DOE
Type: Contract
Please respond with resume and 3 references preferably supervisor (name, title, company, email, phone number)
Preference will be given to candidates who meet all preferred skills and have public sector experience
Background Check will be performed if a candidate is selected for placement and will have to be passed
Resumes will not be accepted from applicants outside of Texas. The worker will be required to travel as needed to the primary work location in the Austin office.
Job Description
The Health & Human Services Commission (HHSC) Claims Management Division (CMD) is responsible for overseeing system changes to the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care Online Portal (LTCOP). This project impacts multiple long-term care claims processing/billing applications that are all part of the Texas Medicaid and Management Information System (TMMIS). CMD will implement changes to these systems in FY23 to support new functionality required by Waiver Providers and to comply with federal HCBS settings requirements.
Texas proposes to enhance the long-term care (LTC) portal used by all community-based services programs to allow attachments to be appended to a service plan or assessment directly in the portal. This will improve efficiency for providers and service delivery for recipients by ensuring documentation stays with a plan of care, is appropriately stored, and can be easily retrieved in the future. Today, a provider can submit certain eligibility assessments or service plans for state review using the state's LTC portal but if additional documentation is needed to review an individual service plan or some assessments, a provider must mail, fax, or email the documentation directly to state staff.
In addition, Texas proposes to create a new benefit available in the Home and Community based Services (HCS), Texas Home Living (TxHmL), and Deaf-Blind with Multiple Disabilities (DBMD) 1915(c) waiver programs called individualized skills and socialization. This service will provide on and off-site activities to develop skills and gain greater independence, socialization, community participation, or an individual's future employment or volunteer goals identified in their person-center plan.
The Worker will serve as a Business Analyst/Tester for the Home and Community-based Services (HCS), Texas Home Living (TxHmL), and Deaf-Blind with Multiple Disabilities (DBMD) 1915(c) waiver programs. The Worker will be responsible for delivering quality products that meet the state's desired operational and technical requirements. The Worker will have considerable latitude to use their experience and judgement to ensure successful completion of their assigned tasks. The Worker will be required to multi-task, analyze priorities, communicate clearly, and set expectations for the phases of the project. The Worker will be responsible for communicating with multiple internal and external stakeholders including program and technical staff, TMHP staff, and other contracted resources. The Worker will be responsible for acting as a liaison to the TMHP project team and be responsible for business and system requirements for the Texas MMIS LTCOP, HHSC CMD and IT functions. The Worker will be performing requirement analysis, documentation reviews, and user acceptance testing of the modified systems.
II. CANDIDATE SKILLS AND QUALIFICATIONS

Minimum Requirements:
Candidates that do not meet or exceed the minimum stated requirements (skills/experience) will be displayed to customers but may not be chosen for this opportunity.
Years
Required/Preferred
Experience
5
Required
Experience in requirements gathering and translating business needs into technical objectives and identifying solutions to satisfy the business need.
5
Required
Experience reporting project status to management including risks, issues, and key decisions.
5
Required
Experience identifying project risks and issues; and developing/implementing mitigation strategies.
5
Required
Experience in effective general written/oral communication, including documenting requirements, deliverables, test scenarios and project status.
5
Required
Experience utilizing business analysis skills and interacting with business end users and technical staff.
5
Required
Experience performing review and approval processes of complex technical user and system requirements written by vendors.
5
Required
Experience with Microsoft Office products (e.g., Teams, Word, Excel, etc.).
5
Required
Experience coordinating and developing test strategies and test scenarios.
5
Required
Experience with Microsoft Project or similar project management software.
5
Required
Experience utilizing the Agile methodology or other form of adaptive software development methodology.
5
Required
Experience working in a team environment
5
Required
Experience with Medicaid systems and processes.
2
Required
Experience in claims processing.
4
Preferred
Knowledge of Texas Medicaid programs.
2
Preferred
Experience with long term care services.

III. TERMS OF SERVICE
Services are expected to start 10/03/2022 and are expected to complete by 08/31/2023. Total estimated hours per Candidate shall not exceed 2016 hours. This service may be amended, renewed, and/or extended providing both parties agree to do so in writing.

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Job Details

  • ID
    JC45371158
  • State
  • City
  • Job type
    Contract
  • Salary
    N/A
  • Hiring Company
    TexcelVision Inc.
  • Date
    2022-09-02
  • Deadline
    2022-11-01
  • Category

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