Murtech is hiring: Senior Business Systems Analyst in Pittsburgh

This position is responsible for system configuration implementation of the strategic business and functional infrastructure of the underlying systems that support the respective business platforms for the Medicaid Business Unit market. Performs configuration change management activities related to benefits, business rules, screen design and functionality, templates, workflows, provider contracts, user task analysis, personalization to different plans, and user interface design and design requirements for systems setup, configurations and onboarding of new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate managed care operations (i.e. enrollment & billing, claims processing, etc.).

This job supports one or more analytical aspects of the application product life cycle, including capability enablement with cross-team dependencies within a product scope. Uses significant independent judgement and discretion to collaborate with customers on the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process improvements, create/execute test plans, provide root cause analysis and corrective action plan, verify delivery of customer needs, and ensure quality delivery. Identifies, documents, and resolves risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements. Uses functional and organizational knowledge to mentor Associate, Intermediate, and Senior Business Systems Analysts, as well as others outside of immediate team.

Leads project teams or actively participates as a SME on the most complex projects (cross functional, with potential regulatory risk exposure, customer service & financial impacts). Acts as face to the customer; primary customer contact; may negotiate project requirements versus resources with customer. Resolves the most complex issues (may involve multiple systems) and/or develops alternative solutions with understanding of potential regulatory risk exposure and customer service & financial impacts, ensuring that resolution addresses all potential impacts. Includes hands-on configuration in production and test environments, incident tracking and resolution, release management and project management.

Act as a SME on how the most complex new enhancement/applications are developed using an expert level of understanding of end-to-end processes and potential integration issues. Requires expert level of understanding the end systems impact of changes across enterprise-wide systems (including regulatory risk exposure, customer service & financial impacts). Develops policies & procedures in support of standardized and accurate configuration and maintenance. Remains informed of all health plan contracts and amendments as well as code sets, fee schedule and pricing changes made by health plans, CMS and/or the states’ Medicaid programs.