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Merative

A data and software partner for health and government social services, with tech and expertise to drive real progress.

Business Consultant – Medicaid

ConsultantConsultantFull TimeRemoteLeadTeam 1,001-5,000Since 2022H1B SponsorCompany SiteLinkedIn

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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