Senior It Business Analyst

Job Summary

Position is within the Nevada Health Authority Enterprise IT & Innovations Office, Business Process Management Unit and is responsible for enhancements to the Medicaid Management Information System (MMIS) and related peripheral systems. Responsibilities include research and resolution of issues in business functions of the systems, such as claims, eligibility, prior authorizations and recipient information. Incumbents apply in‑depth knowledge of Nevada Medicaid’s program areas to define and implement solutions, analyze business processes, develop requirements, and test system functionality to assess the accuracy and completion of application code.

The role monitors quality assurance across programs, interprets federal and state laws and regulations, coordinates with other professional staff, and serves as a technical bridge between program staff, Medicaid’s fiscal agent and MMIS operations vendor(s). The position is pivotal in the change management process to ensure division staff understand how best to achieve their program goals in the information system(s).

Two or more years of applicable experience as described in the job duties and graduation from high school or equivalent education.

Professional experience in one or more of the following areas: health and human services, social welfare, health insurance, worker's compensation insurance, unemployment insurance, health information technology, or a related environment.

• Apply recognized data processing concepts to business process plans and analyses.
• Develop work and/or data flow diagrams that illustrate and describe functional processes of the system.
• Document business and functional requirements for proposed projects.
• Review and document test results to assess the accuracy and completeness of application code.
• Monitor quality assurance.
• Research and evaluate computer hardware and software needs.
• Analyze business processes, propose improvements, and identify work processes that may be automated.
• Define potential benefits of proposed systems or deficiencies to be corrected in the existing system.
• Define and document data definitions and relationships to be used in the foundation of systems development.
• Develop procedural alternatives in the absence of properly operating software.
• Consult with stakeholders to determine business function and end‑user requirements.
• Conduct alternative analyses and develop written requirements for proposed systems and applications.
• Train individuals in the use of the system and system software.
• Test systems functionality by preparing test plans and participating in quality assurance.
• Initiate system work requests.
• Develop bridging specifications to program areas that interact with processes and output.
• Consult with programmers regarding the technical requirements, logic, and deficiencies of programs.
• Participate in recommending and justifying resource allocations and expenditure decisions.
• Assist in procedure development, evaluation, preparation, and modification.
• Develop transition plans.
• Participate in training development and presentation.
• Review, analyze, and interpret the effects of federal and state laws, regulations, and agency policies.
• Write technical requirements for grant proposals.
• Prepare documentation for the computer system manual.
• Perform related duties as assigned.

• Knowledge of agency policies and procedures related to the program area, automated systems logic, data processing concepts including general database, system security, data communication, and multiple platform strengths and weaknesses; accepted practices and methods used in designing program reviews and evaluations; formal systems design methodologies.
• Ability to coordinate the exchange of information and opinions with others to formulate policy and procedures.

• No Nevada state income tax.
• Health insurance: medical, dental, life, and disability insurance for employees and dependents through the Public Employees’ Benefits Program (PEBP).
• Vacation:
  Accrual of three weeks of annual leave each year.
• Sick leave:
  Accrual of three weeks of sick leave each year.
• Holidays: 12 paid…