Business Analyst – Provider Management

Business Analyst – Provider Management

Location: Harrisburg, PA (Hybrid – Onsite work expected occasionally)

About Us:

Known for “Delighting the Client” through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at www.s2tech.com. 

Why S2Tech?:

• Stable privately-owned company with a strong reputation for building long-term client relationships through the delivery of consistent value-based service
• 25 years providing IT and Business services to private customers and government programs throughout the United States
• Expansive client portfolio and active projects – employees benefit from innovative project exposure and in-house skill development training/courses  
• Corporate culture that emphasizes the importance of family and promotes a healthy work-life balance
• Offer competitive pay and a range of benefits, including:
• 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
• Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural/urban divide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities, allowing them to link their professional & educational goals

Job Overview:

We are actively seeking an experienced Business Analyst to support our Medicaid Management Information System (MMIS) Modernization project with a focus on Provider Management. This role requires a results-driven professional with strong analytical, documentation, and collaboration skills who can participate in requirements definition sessions, support both business analysis and testing activities, and ensure compliance with federal and state standards, including ACA Section 6401(a) requirements for provider screening and enrollment. The role is client-facing and involves working closely with stakeholders, state teams, and other vendors.

Responsibilities:

Requirement Gathering and Documentation

• Identify, gather, and document Provider Management business requirements, including provider enrollment, re-enrollment, screening, credentialing, and compliance with ACA Section 6401(a) standards
• Participate in requirements definition sessions and facilitate workshops with stakeholders, subject matter experts, and other vendors
• Track requirement changes from original project specifications, JAD sessions, and finalized module system requirements
• Develop detailed Business Requirements Documents (BRDs), including module background, process flows, business requirements, assumptions, key decisions, decision dates, open issues, test scenarios, and cross-initiative impacts

Traceability and Compliance

• Ensure traceability between module business requirements and CMS Certification requirements, Medicaid regulations, and ACA compliance standards
• Maintain awareness of healthcare standards and regulations such as HIPAA, FHIR, and Provider Management compliance standards, including enhanced screening, site visits for high-risk providers, enrollment fees, and revalidation requirements

Application Testing

• Translate business requirements into test cases, test plans, and test scripts
• Execute testing activities, including system testing and User Acceptance Testing (UAT), for Provider Management workflows
• Analyze test results, document outcomes, and collaborate with development teams to resolve discrepancies
• Provide stakeholders with detailed testing reports, recommendations, and issue resolutions

Qualifications:

• 5 years of experience in Medicaid programs, including at least 2 years focused on Provider Management related to ACA Section 6401(a) requirements (provider enrollment, re-enrollment, screening, credentialing, and revalidation)
• Proven experience in requirements gathering, system analysis, validation, problem-solving, and business contingency planning
• Skilled in facilitating Joint Application Development (JAD) sessions and requirements workshops
• Hands-on experience with Gap Analysis, UAT, Cost-Benefit Analysis, and ROI Analysis
• Preferred experience with Provider Management, Credentialing, and ACA compliance requirements
• Strong knowledge of the Software Development Life Cycle (SDLC)
• Ability to translate Use Cases into Test Documents, Test Plans, and Test Scripts
• Proficiency with project management and tracking tools such as TFS/ADO and MS Project
• Advanced proficiency in Microsoft Office Suite
• Experience partnering with C-Level Executives to influence project direction
• Ability to establish and maintain strong client and stakeholder relationships
• Self-starter capable of working independently or within a team
• Strong organizational and management skills, with the ability to align deliverables with business objectives
• Excellent written and verbal communication skills
• Skilled in stakeholder engagement, conflict resolution, and negotiation
• Strong interpersonal skills with a proven ability to drive collaboration across teams and vendors
• Comfortable in a client-facing role and able to articulate technical concepts to non-technical stakeholders

S2Tech is committed to hiring and retaining a diverse workforce. We are an equal opportunity employer making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.