Sr. Business Analyst

JOB TITLE:
Sr. Business Analyst

JOB LOCATION:
Remote

WAGE RANGE*: $40 – 47/ hour

JOB NUMBER: REMT
000104

REQUIRED EXPERIENCE:

• Bachelor’s degree with 7+ years of business analysis experience or master’s degree with 5+ years of business analysis experience.
• Minimum 5 years of experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals.
• Minimum 3 years of Lead Business Analyst experience on large complex projects.
• Strong knowledge in Medicaid Management Information System around Claim Payments and Remittance Advice.
• Strong knowledge of Oracle Financials (OFIN) and managing vendor receivables and payables.
• Excellent knowledge of generating Remittance Advices (835X12s).
• Excellent Business Analysis Process (SDLC, documentation procedures) experience.
• Excellent customer relation skills including presentation and meeting facilitation.
• Experience facilitating and running customer facing requirements and design sessions.

Preferred Qualifications

• Strong knowledge and proficiency in SQL, plus high-level of technical and database knowledge.

Senior Business Analyst is responsible for analyzing business problems, identifying gaps, and developing technical solutions involving complex information systems with no supervision for Provider Payments that maintains various accounting information. This role involves managing requirement scope, determining appropriate methods on potential assignments, and serving as a bridge between information technology teams and the client through all project phases; provide day-to‑day direction on State program activities.

• Works with customers on presenting technical solutions for complex business functionalities.
• Possesses unwavering commitment to customer service and operational excellence.
• Provides customer support through leading client demos and presentations.
• Prioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phases.
• Creates and modifies Business Process Models.
• Understands the overall system architecture and cross‑functional integration.
• Demonstrates in‑depth knowledge of business analysis related to Provider Enrollment, Maintenance and Screening to ensure high quality.
• Demonstrates advanced expertise and contributes to the Business Analysis practice by publishing technology points of view through the creation of white papers.
• Possesses in‑depth knowledge and is well‑versed in multiple functions or capabilities.
• Uses cases, workflow diagrams, and gap analysis to create and modify requirements documents and design specifications.
• Analyzes user requirements and client business needs, leveraging expert opinion and expertise.
• Acts as the requirements subject matter expert and supports requirements change management.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.

While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job‑related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits;

dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM’s discretion.