Merative
A data and software partner for health and government social services, with tech and expertise to drive real progress.
Business Consultant – Medicaid
Location
United States
Posted
147 days ago
Salary
$101.0K - $151.5K / year
Seniority
Lead
Bachelor Degree7 yrs expEnglish
Job Description
• Research, analysis, and define customer requirements to build a Healthcare Care Management platform supporting collaboration of care and data – Care plans, medications, healthcare providers, and more
• Analyze the business requirements of our customers and system functionality to scope.
• Write the functional documentation and user stories required by technical consultants who develop our software.
• Learn and become well versed in the Cúram product and case management business process to perform fit/ gap analysis and advise on the best approach to implement solutions using the product.
• Act as the point of contact for business-related questions and issues that arise and require clarification, working closely with stakeholders and technical staff.
• Collaborate with teams discussing design options and the various merits of different approaches.
• Work with teams developing demos and client presentations.
• Lead agile sessions when required.
• Analyze requests from clients and requirements complete detailed work estimates.
• Prioritize and document solution requirements including Use case and/or process flows, User Stories, Data definitions and/or logical data models, Screen design and story boarding, QA and test case development.
Job Requirements
- 7+ years of experience in a Business Analyst or related role, with a focus on delivering technology-driven projects related to healthcare systems
- Medicaid Managed Care organization (MCO) or Medi-CAL (such as Kaiser, Blue Cross, Molina, etc) experience
- Systems experience in EHR (Electronic Health records) -OR- FHIR (Fast Healthcare Interoperability Resource)
- Understanding of integrations and data exchange in healthcare systems
- Proven expertise in business process analysis, including user stories, process flows, and gap analysis.
- Strong ability to optimize business processes for increased efficiency and effectiveness.
- Expertise in identifying and evaluating delivery methods and advising teams on best practices based on measurable outcomes.
- Experience supporting teams by helping visualize outcomes, prioritize tasks, and deliver solutions aligned with project scope.
- Solid team building, problem resolution and decision-making skills.
- Curam software knowledge, and case management business process flow.
- A comprehensive understanding of how to implement and customize Commercial-off-the-shelf (COTS) functionality to meet requirements.
Benefits
- Remote first / work from home culture
- Flexible vacation to help you rest, recharge, and connect with loved ones
- Paid leave benefits
- Health, dental, and vision insurance
- 401k retirement savings plan
- Infertility benefits
- Tuition reimbursement, life insurance, EAP – and more!
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