Business Analyst (Medicaid)
Posted 1 day ago by Allied Consultants, Inc.
Negotiable
Undetermined
Remote
Remote
Summary: Allied Consultants is seeking an experienced Business Analyst (Medicaid) to support the Texas Health and Human Services (HHSC) in enhancing the Long-Term Care online portal. The role involves analyzing business systems, developing solutions, and providing subject matter expertise for the IHSS Automation project. The candidate must reside in Texas and will work closely with various stakeholders to ensure project success. This position requires a strong background in business analysis, particularly within Medicaid systems and processes.
Key Responsibilities:
- Reviews, analyzes, and evaluates business systems and user needs.
- Formulates systems to parallel overall business strategies.
- Prepares solution options, risk identification, and financial analyses.
- Writes detailed descriptions of user needs and program functions.
- Analyzes program policies and procedures affecting automated systems.
- Serves as liaison for analysis, design, configuration, testing, and policy implementation.
- Develops, documents, and revises system design procedures and quality standards.
- Identifies and prioritizes the product backlog.
- Creates test plans mapping back to business requirements.
- Participates in user acceptance testing and tracks testing status.
- Identifies potential project risks and designs mitigation strategies.
- May develop training curriculum and conduct training sessions.
- Performs related work as assigned.
Key Skills:
- 8 years of experience in complex business analysis and technical documentation.
- Experience reporting project status, identifying risks, and developing mitigation strategies.
- Effective written/oral communication skills.
- Experience gathering, validating, and documenting business requirements.
- Experience with Microsoft Office products.
- Experience coordinating and developing test plans and executing test cases.
- Experience utilizing Agile software development methodology.
- Experience with Medicaid management information systems.
- Knowledge of Texas Medicaid programs and PASRR (preferred).
- Experience with the Long-Term Care Online Portal application (preferred).
Salary (Rate): undetermined
City: undetermined
Country: United States
Working Arrangements: remote
IR35 Status: undetermined
Seniority Level: undetermined
Industry: Other
Allied Consultants has been contracted with the Texas State Government for 34 years, we are a Top Ten ranked vendor, and premier provider of technical and business staffing solutions. We are currently seeking an experienced Business Analyst (Medicaid) to be a key resource on a technical services team for our client, the Texas Health and Human Services (HHSC).
Work Hours and Location
8AM-5PM
Job Location: 701 W. 51st Austin, TX 78751 **
Remote: Program will only accept TEXAS RESIDENT ONLY candidates for this position. Please do not submit candidates that are NOT currently residing in Texas.
Responsibilities
Reviews, analyzes, and evaluates business systems and user needs. Formulates systems to parallel overall business strategies. Experienced with business process reengineering and identifying new applications of technology to business problems to make business more effective. Familiar with industry standard business process mapping, and reengineering. Prepares solution options, risk identification, and financial analyses such as cost/benefit, ROI, buy/build, etc. Writes detailed description of user needs, program functions, and steps required to develop or modify computer programs.
The client Intellectual and Developmental Disability (IDD) Services and Preadmission Screening and Resident Review (PASRR) section provides services to Texans with intellectual and developmental disabilities. PASRR is a federally required process to identify people with mental illness, intellectual disability, or developmental disability who apply to, or reside in, a Medicaid-certified nursing facility (NF) to ensure that the NF admission is appropriate. PASRR is also intended to ensure people residing in a NF are receiving all necessary specialized services.
The PASRR program plans to enhance the Long-Term Care online portal (LTCOP) by automating the process for requesting and authorizing PASRR IDD habilitative specialized services (IHSS). The LTCOP system is used by LTC providers to submit forms, screenings, evaluations, and the Long-Term Care Medicaid Information section of the Minimum Data Set Assessment. The project is scheduled to begin in January 2026, with implementation of the system changes set for the end of June 2026.
The Worker will serve as a Business Analyst for the IHSS Automation project. The Worker will report directly to the PASRR Director and work with IDD Services and PASRR program staff, Product Owner, sprint teams, and other project stakeholders as needed to provide subject matter expertise; perform business analysis work; review, assess, and develop business processes; create and validate user acceptance testing; and provide support for the systems development life cycle.
The Worker will provide Business Analyst services that include, but are not limited to, the following:
- Analyzes program policies and procedures to determine their effect on automated systems and system functional areas.
- Analyzes and reviews complex project deliverables such as project charters, business user requirements, design documentation, test plans, and risk assessment plans to ensure business requirements are met.
- Serves as liaison by providing consultation, documentation, and direction regarding analysis, design, configuration, testing, and policy implementation of the system.
- Develops, documents, and revises system design procedures, test procedures, and quality standards.
- Identifies and prioritizes the product backlog to ensure efficient use of resources.
- Creates test plans that accurately map back to the documented business requirements or user stories.
- Participates in user acceptance testing and testing of new system functionality.
- Tracks, documents, and reports status of testing.
- Identifies potential project risks and difficulties, and designs strategies to mitigate or avoid them.
- May develop training curriculum and conduct formal training sessions covering assigned systems module.
- Performs related work as assigned.
Qualifications
Minimum Requirements:
8 years of:
- Experience in performing complex business analysis and writing technical documentation.
- Experience reporting project status to management including risks, issues, and key decisions.
- Experience identifying project risks and issues; and developing/implementing mitigation strategies.
- Experience in effective general written/oral communication, including documenting requirements, deliverables, test scenarios and project status.
- Experience utilizing business analysis skills and interacting with business end users to gather, validate and document business requirements and translate into technical solutions to satisfy the business needs.
- Experience performing review and approval processes of complex technical user and system requirements written by vendors.
- Experience with Microsoft Office products (Teams, Word, Excel, Visio, and PowerPoint).
- Experience coordinating and developing test plans/strategies, exit criteria, and test scenarios.
- Experience executing detailed test cases within a complex software environment.
- Experience using testing management software.
- Experience utilizing the Agile software development methodology.
- Experience as a Business Analyst.
- Experience approving and prioritizing user stories based on stakeholder feedback and subject matter expertise.
- Experience with Medicaid management information systems and processes.
Preferred:
4 years of:
- Knowledge of Texas Medicaid programs and PASRR.
2 years of:
- Experience with the Long-Term Care Online Portal application.
Overview
Allied Consultants offers its family of consultants excellent rates, a local support staff, and an attractive benefits package which includes medical insurance (Allied shares a percentage of the cost), life insurance, a matching 401(k) plan and a cafeteria plan. Candidates selected for interview will be required to undergo criminal background checks and may be required to complete a drug screen in accordance with Federal and State Law. Offers of Employment are contingent on a successful background check. Allied Consultants is an equal opportunities employer.