Job Description

Title: MMIS BA

Location: 100 Hancock Street Quincy, MA 02171/Hybrid (Local Only from MA, NH or RI) Hybrid 2-3 days onsite per week

Duration: 6 Months

In-Person Interview

Minimum Requirements:

Vaccination Mandatory

37.5 hours per week

Job Description:

The Senior Business Analyst, will be responsible for working with internal and external stakeholder groups to analyze and document business needs according to industry best practices, work on multiple assignments concurrently and be required to complete work by aggressive due dates, act as main contact and manage smaller projects as defined by the internal project management organization, work within a team of contractors and full-time employees and report directly to the BA lead.

This resource needs to have extensive knowledge of data warehouse terminology, health care data, data visualization and reporting, and government data and processes. The resource will need to organize and lead meetings with technical and business personnel to gather the appropriate information for different. This resource will be responsible for running reports and ensuring all documentation is based on EHS standards and will need to work with multiple warehouse tools including JIRA, SQL and CVS.

J OB DUTIES (Detailed Statement of Duties and Responsibilities):

• Work with stakeholders to analyze and gather project requirements

• Documentation of business rules that affect data transformation

• Work closely with Developers, Operations, Architecture and Reporting Team Members as well as business sponsors

• Communicate progress, or impediments to progress, to business users and managers

• Organize and maintain workload and work independently with limited supervision

• Participate in, and contribute to, team projects and meetings

• Manage and respond to data clarification and definition inquiries

• Attain business input to manage workload

• Monitor all inbound EDI related data received from external stakeholders. Data include but are not limited to 837's, 277, NCPDP transactions.

• Take a proactive approach to identify and resolve file processing and data issues.

• Work with internal teams to support testing scenarios and issue resolution.

• Work with internal and external stakeholders to gather requirements and make recommendations.

REQUIRED SKILLS (Special Skill Set, Abilities, Knowledge):

• At least 1 - 3 years direct experience with health care data and data management.

• At least 1 - 3 years direct experience working in a data warehouse environment.

• 5+ years as a business analyst.

• Strong analytical and reporting skills

• Experience with data visualization and BI tools like Tableau

• A strong background working with HealthCare claims data, specifically 837 and NCPDP claims.

• Good knowledge in HIPAA/EDI X12 healthcare related transactions including but not limited to 835, 837, 277 and 277CA, and understanding of segments and loops.

• Knowledge of Medicaid terminology, structures and programs

• Strong Oracle SQL skills on a Windows platform; other programming skills, like VBA.

• Experience using JIRA defect and/or other project management tools.

• Extensive experience in MS Office; other relevant software experience desired

• Understands the basic principles of data governance and data quality.

• Ability to manage multiple ongoing and short-term projects

• Ability to translate business requirements into functional specifications and business requirements documentation. Strong analytic skills and attention to detail required

• The ideal candidate must demonstrate that they have relevant experience, creativity, and keen problem-solving ability when handling issues that arise.

• High level communication skills including the ability to express findings and recommendations clearly to end users and several levels of management, verbally, visually and in writing

• Excellent interpersonal skills for collaboration and facilitation work with a broad range of people to ensure projects timeline is on track.

Requirements

• BS in Computer Science, related degree, or equivalent experience

• Extensive SQL experience within a data warehouse environment required

• 3+ year experience working as an Analyst or a developer, preferably in HealthCare field

PREFERRED SKILLS:

• Experience with Health Insurance and/or Medicaid.

• Experience with Medicaid eligibility system.

• Familiarity with Cloud based services like AWS services.

• Understanding of reporting schemas, data transformations and data lake pattern

• Experience with data quality and remediation, and data flows and mapping.

• Familiarity with Healthcare EDI formats such as 837 and NCPDP.