Sr. Medicaid TPL Business Analyst-Local Candidates To at NTT DATA Services

Job description

Req ID: 390352 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Sr. Medicaid TPL Business Analyst-Local Candidates To Little Rock, AR to join our team in Little Rock, Arkansas (US-AR), United States (US). We are seeking a Senior Business Analyst with deep expertise in Medicaid Third Party Liability (TPL), claims processing, and recovery operations. The ideal candidate will have hands-on and in-depth experience and knowledge with Medicaid Management Information System (MMIS), Coordination of Benefits (COB), Crossovers – (Medicare A & B), Medicare Advantage C plans (MCA), and post-payment recovery workflows. The TPL SR BA will support Business Operations Support (BOS) for a state Medicaid Program. Working under the direction of the Operations Manager, the analyst will collaborate with state business staff, system and service vendors, and NTT DATA project managers and consultants to support planning, design, User Acceptance Testing (UAT), implementation, and evaluation of key system and processes changes. Location: Little Rock, AR Key Responsibilities • Analyze Medicaid claims, TPL workflows, Medicare Crossovers (Pt A&B), Medicare Advantage (Pt C), and recovery data to identify trends, root causes, and opportunities for cost avoidance and recovery optimization • Translate federal/state TPL policies into system requirements • Support MMIS enhancements, including adjudication rules and edits, reporting, letters, etc. • Work with vendors and state stakeholders to improve all faucets of insurance discovery and recovery processes • Lead requirements gathering, documentation, create and conduct UAT testing • Identify and report issues, risks, and dependencies • Support issue triage, backlog management, and operational reporting for day-to-day TPL activities Required Qualifications: • Minimum 6 years of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations • Minimum 6 years of experience with TPL, Coordination of Benefits, Medicare Crossover Part (A&B) Claims processing, Medicare Advantage (Part C), claims workflows, including complex claim scenarios and regulatory compliance. • Minimum 6 years of experience with elicitation and verification of business and technical requirements • Minimum 3 years of experience with system development methodology and project management principles • Minimum 3 years of experience conducting reviews of system development life cycle documentation, project and technical architecture and design deliverables/artifacts • Candidate must be local to the client in Little Rock, Arkansas • Undergraduate degree or 4 years relevant experience Preferred Skills: • Experience translating Federal and State regulations into working requirements that are actionable by technical teams • Experience working with Medicaid Enterprise Systems (MES) vendors • Ability to translate between non-technical business users and technical IT resources • Strong SQL and data analysis skills • Strong understanding of HIPAA and X12 EDI standards Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $81,936 - $122,904. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short and long term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally-required benefits. About NTT DATA NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, us.nttdata.com . NTT DATA endeavors to make us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at us.nttdata.com . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here . If you'd like more information on your EEO rights under the law, please click here . For Pay Transparency information, please click here .

Requirements

Must-haves

Req ID: 390352
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a Sr. Medicaid TPL Business Analyst-Local Candidates To Little Rock, AR to join our team in Little Rock, Arkansas (US-AR), United States (US).
Location: Little Rock, AR
Analyze Medicaid claims, TPL workflows, Medicare Crossovers (Pt A&B), Medicare Advantage (Pt C), and recovery data to identify trends, root causes, and opportunities for cost avoidance and recovery optimization
Translate federal/state TPL policies into system requirements
Support MMIS enhancements, including adjudication rules and edits, reporting, letters, etc.
Work with vendors and state stakeholders to improve all faucets of insurance discovery and recovery processes
Lead requirements gathering, documentation, create and conduct UAT testing
Identify and report issues, risks, and dependencies
Support issue triage, backlog management, and operational reporting for day-to-day TPL activities
Minimum 6 years of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations
Minimum 6 years of experience with elicitation and verification of business and technical requirements
Minimum 3 years of experience with system development methodology and project management principles
Minimum 3 years of experience conducting reviews of system development life cycle documentation, project and technical architecture and design deliverables/artifacts
Candidate must be local to the client in Little Rock, Arkansas
Undergraduate degree or 4 years relevant experience

Nice-to-haves

Experience translating Federal and State regulations into working requirements that are actionable by technical teams
Experience working with Medicaid Enterprise Systems (MES) vendors
Ability to translate between non-technical business users and technical IT resources
Strong SQL and data analysis skills
Strong understanding of HIPAA and X12 EDI standards

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sqlaiaccessibility

Platform: successfactors
Effort: medium

Benefits

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Dental

Vision

401k

Paid Time Off