About this role
Maximus is a company focused on supporting Medicaid programs, and they are seeking a Lead Business Analyst to perform functional business analysis with technical acumen. This role involves analyzing workflows, leading requirements development, and ensuring the consistent application of business processes while partnering closely with Development and Systems teams.
Responsibilities:
- Develop and maintain effective processes for managing requirements, developing business processes, and providing production support to the operation
- Lead and implement the design, analysis, interpretation and evaluation of a variety of reports, internal/external resource documents and surveys
- Lead and own activities related to Business Requirement Documents process
- Analyze existing systems, programs, policies, and organizational processes and recommend enhancements and improved solutions
- Design and implement process improvements that enhance customer service and optimize business operational efficiency and quality
- Conduct statistical analyses and evaluates a wide variety of information to assess operational difficulties and develop solutions to complex problems, including escalated issues
- Independently develop and implement modeling and evaluation processes to determine the effectiveness of current operational activities
- Provide oversight and perform research and gap analysis to determine and improve effectiveness of all operational documentation
- Serve as a liaison between business ops and system team for the planning, implementation and maintenance of programs and contractual changes
- Communicate status, risks, and issues to the Systems Analysis and Design Director, senior management and/or the client, as appropriate
- Monitor BA activities with the Systems Analysis and Design Director to ensure that all business analysis activities are allocated appropriately and executed as planned
- Ensure all business requirements and business processes are adequately documented
- Lead cooperative efforts among members of a project team
- Manage efficient execution of business meetings with internal project staff, client staff, and/or project vendors
- Act as advisor to project team members to resolve problems
- Provide support to operation senior staff, division managers and program managers
- Develop high quality communications suitable for clients
- Work effectively with internal and external business partners in the delivery of solutions
- Maintain extensive and comprehensive working knowledge of all assigned programs and projects
- Lead and own end-to-end business analysis and requirements management activities
- Develop and maintain Business Requirement Documents (BRDs)
- Analyze workflows, system interactions, and data tables
- Partner with Development teams and participate in solution reviews
- Perform data analysis, defect investigation, and change impact analysis
- Track and manage nonsystem client requirements
- Serve as liaison between business operations, systems teams, and clients
- Support contract administration, SLAs, and scope control
- Lead stakeholder meetings and provide status reporting
- Support implementation and onsite client engagement as required
Requirements:
- Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience
- Medicaid provider background with understanding of downstream impacts
- Health and Human Services experience
- MMIS experience supporting state Medicaid agencies or MCOs
- Minimum 3 years provider related Medicaid experience
- Strong experience with workflows, requirements documentation, change impact analysis, and defect investigation
- Familiarity with Medicaid provider enrollment and credentialing and related downstream impacts
- Experience supporting MMIS implementations or enhancements
- Prior consulting or multi‑client program experience