Business yst

The Claims Management Division (CMD) within the Medicaid and CHIP Services Department is responsible for Long Term Care Claims Adjudication through management of the Claims Management System and related support operations.

The Worker will perform business analyst and support work for the NF PDPM technology project for CMD. These changes impact the Medicaid Management Information System (MMIS)/Medicaid Enterprise Systems (MES) to support the new nursing facility payment methodology for LongTerm Services and Supports. The Worker will be responsible for delivering quality products that meet the states 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 multitask 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 and other contracted and vendor resources. The Worker will participate in meetings track deliverables and schedules and alert management of any issues that may impact providers.

The services to be provided include but are not limited to the following:

• Analyzes program policies procedures and processes to determine the impact on business systems and functional areas.
  
• Analyzes and reviews system data and project deliverables such as business user requirements design documentation test plans and risk assessment plans to ensure business and technical requirements are met.
  
• Works with Program area staff to solicit analyze and document business processes and requirements.
  
• Acts as a liaison between state staff and vendors to translate operational and business requirements to vendors.
  
• Analyzes and writes User Stories with Acceptance Criteria based on business needs and according to the Agile methodology.
  
• Develops and maintains business user test scenarios and participates in systems and user acceptance testing.
  
• Creates use case scenarios test plans and exit criteria that accurately map back to the documented business requirements or user stories.
  
• Reviews analyzes and executes test cases with a formal testing tool.
  
• Tracks documents and reports the status of testing.
  
• Evaluates proposed test strategies to ensure appropriate test coverage.
  
• Identifies potential project risks and issues and develops mitigation strategies.
  
• Reports project status to management on established timelines.
  
• Documents action items and business decisions.
  
• Performs meetings and/or presentation tasks as needed.
  
• Manages schedule for deliverables as established.
  
• Other duties as assigned in support of the NF PDPM project.
  

Years

Required/Preferred

Experience

5

Required

Experience in performing complex business analysis and writing technical documentation.

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 to gather validate and document business requirements and translate into technical solutions to satisfy the business needs to 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 plans/strategies exit criteria and test scenarios.

5

Required

Experience executing detailed test cases within a complex software environment.

5

Required

Experience using testing management software.

5

Required

Experience with Microsoft Project or similar project management software.

5

Required

Experience utilizing the Agile software development methodology.

5

Required

Experience as Business Analyst.

2

Preferred

Experience with Texas Medicaid system and processes.

2

Preferred

Experience in claims processing.

2

Preferred

Experience as a Product Owner for an agile team including working with agile/scrum teams of software contracted vendors to implement system changes.