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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in business analysis, particularly in Medicaid provider enrollment processes, with a strong focus on requirements elicitation, documentation, and validation. Proficient in Agile methodologies and capable of translating complex operational needs into actionable technical requirements.
Highest-signal resume keywords
Business AnalysisRequirements ElicitationAgile MethodologiesMedicaid Provider EnrollmentOnBase Workflow Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Process FlowsUser StoriesUse CasesData RequirementsAcceptance CriteriaRequirements TraceabilitySystem Integration TestingWorkflow AutomationData ValidationAPI Requirements
Soft Skills
FacilitationAnalytical SkillsProblem-SolvingDocumentationCommunication Skills
Tools & Technologies
JiraAzure DevOpsConfluenceVisioOnBaseIdentity-Management Technologies
Certifications & Qualifications
CBAPCCBAPMI-PBACertified Scrum Product Owner
Industry Keywords
MedicaidHealthcare AdministrationProvider Data ManagementNational Provider IdentifiersADA ComplianceWCAG ComplianceState Government SystemsPublic-Sector Healthcare
Tech Stack
Tools & technologiesAzure
About the role
Key responsibilities & impact- Support a Medicaid provider enrollment modernization initiative
- Facilitate discovery sessions with Medicaid policy, provider enrollment, operations, technical, security, and vendor stakeholders
- Analyze current provider enrollment processes, workflows, business rules, system interfaces, forms, notices, and operational pain points
- Elicit, document, validate, and maintain business, functional, nonfunctional, data, and integration requirements
- Translate business needs into user stories, use cases, process flows, business rules, requirements traceability documentation, and acceptance criteria
- Define requirements for a provider-facing enrollment portal supporting application initiation, saving, submission, document upload, and status tracking
- Document portal workflows, page flows, data requirements, user roles, and navigation needs with UI/UX and development teams
- Support authentication, role-based access, accessibility, security, and enterprise identity-management integration requirements
- Analyze and document OnBase workflow enhancements for provider screening, licensing validation, risk assignment, notifications, site visits, fraud indicators, status changes, and work-queue automation
- Define data mappings, interface requirements, ingestion rules, validation rules, exception handling, and two-way data exchanges across OnBase, MMIS, portal, and integration teams
- Analyze provider enrollment data involving NPIs, taxonomy, licenses, affiliations, revalidation, ownership, group and individual relationships, and ordering/referring/prescribing providers
- Identify opportunities to reduce manual processing, improve data quality, increase workflow visibility, and automate enrollment activities
- Coordinate stakeholders to clarify requirements, resolve gaps, manage changes, and evaluate downstream impacts
- Review system designs and technical artifacts for alignment with approved requirements
- Support sprint planning, backlog refinement, demonstrations, defect review, and other Agile activities
- Develop test scenarios and expected results from approved requirements and business rules
- Support system integration testing, user acceptance testing, regression testing, defect triage, and functionality validation
- Maintain requirements traceability through design, development, testing, and implementation
- Prepare status updates, meeting notes, decision logs, risk and issue documentation, and other project artifacts
Requirements
What you’ll need- At least seven years of experience as a Business Analyst supporting complex information technology or systems-modernization projects
- Experience eliciting, documenting, validating, and managing detailed business and functional requirements
- Experience developing process flows, user stories, use cases, business rules, data requirements, acceptance criteria, and requirements traceability matrices
- Experience working with business stakeholders, developers, architects, testers, operations teams, and third-party vendors
- Experience analyzing system interfaces, data exchanges, workflow automation, and cross-system dependencies
- Experience supporting system development, integration, testing, defect resolution, and implementation activities
- Strong facilitation, analytical, problem-solving, documentation, and written and verbal communication skills
- Ability to translate complex policy and operational needs into clear, actionable requirements for technical teams
- Ability to manage multiple workstreams, priorities, and stakeholders in a complex project environment
- Experience working in Agile or hybrid Agile delivery environments
- Bachelor’s degree in business, information systems, healthcare administration, computer science, or a related discipline
- Relevant professional experience may be considered in place of a degree
- Preferred: experience with Medicaid, healthcare, or other health and human services programs
- Preferred: knowledge of Medicaid provider enrollment, screening, revalidation, licensing, affiliations, sanctions, exclusions, ownership, and provider data management
- Preferred: experience supporting an MMIS or another large public-sector healthcare system
- Preferred: experience with OnBase workflows, document management, work queues, e-forms, or related automation capabilities
- Preferred: experience supporting provider-facing portals or online application systems
- Preferred: experience defining requirements for APIs, system interfaces, data ingestion, data validation, and bidirectional integrations
- Preferred: familiarity with NPPES, LEIE, and SAM.gov
- Preferred: knowledge of National Provider Identifiers, provider taxonomy, ordering/referring/prescribing requirements, and provider affiliation structures
- Preferred: experience with identity-management technologies such as Okta, SAML, or comparable authentication solutions
- Preferred: familiarity with ADA and WCAG accessibility requirements
- Preferred: experience supporting state government or federally funded systems-modernization projects
- Preferred: experience with Jira, Azure DevOps, Confluence, Visio, or comparable requirements and process-modeling tools
- Business analysis or Agile certification such as CBAP, CCBA, PMI-PBA, Certified Scrum Product Owner, or equivalent is preferred
Benefits
Comp & perks- Medical / Dental / Vision Insurance – insurance premium assistance provided
- Additional Insurance (Life, Disability, etc.)
- Paid Time Off
- 401(k) Retirement Savings Plan & Health Savings Account
- Various training courses to promote continuous learning
- Corporate Wellness Program
- Employee-centric culture emphasizing family and healthy work-life balance
- Innovative project exposure and in-house skill development training/courses
- Fortune Fund nonprofit initiatives supporting education and career awareness in rural communities