Job Description

Program Overview

About The Role

The Health and Financial Solutions Team is seeking a Business Systems Analyst to join our Agile team to maintain and enhance the Medicare Durable Medical Equipment (DME) system. This opportunity is ideal for experienced Business Analysts with knowledge of Medicare claims processing, who thrive in a rigorous development environment, enjoy analyzing and solving complex problems, and want to make a real impact on healthcare systems serving millions of Americans.

What You’ll Do:

As a Business Systems Analyst on our Agile development team, you will:

• Analyze and document business processes, workflows, and system requirements.
• Partner with stakeholders to translate needs into functional and technical specifications.
• Conduct gap analysis to identify system and process improvements.
• Serve as a liaison between business users and the technical development team.
• Create and maintain documentation (user stories, use cases, process flows).
• Support testing to validate that new features meet requirements.
• Provide training and support to stakeholders.
• Participate as a persistent member of a cross-functional Agile/Scrum team.
• Contribute to design activities, documentation updates and process improvements.
• Develop time/resource estimates to help drive project delivery.
• Contribute to the strategic direction of the team while ensuring due dates are consistently met.

Qualifications

Required Qualifications:

• Bachelors degree or 4 years of experience with a high school diploma
• Demonstrated experience as a Business Analyst supporting claims system development or other complex, transaction-based systems.
• Strong analytical and problem-solving skills, with a high level of attention to detail and accuracy in requirements gathering, documentation, and validation.
• Excellent communication and interpersonal skills, with the ability to collaborate effectively across technical and business teams, and to convey complex information clearly to diverse audiences.
• Hands-on experience working in Agile and Scrum environments, including participation in sprint planning, backlog refinement, user story creation and daily sync.
• Proficiency with requirements management and documentation tools, with the ability to create detailed functional and non-functional requirements, process flows, and use cases.
• Knowledge of testing processes and software testing tools, with experience supporting user acceptance testing (UAT) and defect management.
• Familiarity with mainframe environments, including JCL, ISPF, and TSO, is a plus.
• Ability to obtain and maintain a Public Trust clearance.
• Us Citizenship is required
• This is a remote position but candidate must reside close to Windsor Mill, MD for possible in office days.

Preferred Qualifications:

• Bachelors degree
• Experience with Medicare Part A, Part B, CWF, or DME systems.
• Knowledge of CMS healthcare claims processing.
• Exposure to tools such as Jira, Confluence, TestRail, GitHub
• Knowledge of API/Web Services.

SCA / Union / Intern Rate or Range

Details

Target Salary Range: $66,000 - $106,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual’s experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.

EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

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