Russell Tobin

Medicaid Claims Analyst

Posted: 4 minutes ago

Job Description

JD-#E2EProfRussell Tobin and Associates is seeking an experienced Medicaid Claims Analyst for our global healthcare client working remotely in the United States. Candidates residing in EST or CST preferred.  Job Title:  Sr Capability Analyst - MedicaidPay: $43.00/hr. to $47.25/hr. (Based on experience)Schedule: Monday-Friday, DaysLocation: Remote CST or EST time zone (Must reside in the USA)Contract Duration: 1-year contract with possible extensionAs a Sr Capability Analyst (Product Owner), you will play a vital role in defining project goals, identifying areas for process improvement, and providing innovative solutions that will impact millions of lives. In collaboration with the development team and stakeholders, you will be the voice of the business, translating complex requirements into actionable features and user stories for the Government Operations application suite. This cross-functional role involves creating and reviewing requirements, facilitating changes to the product, and working with internal and external partners to ensure alignment with business goals. Key Responsibilities:• Serve as the Product Owner on a Scrum Team, guiding the team towards the correct objectives.• Actively participate in project meetings, collaborating with Business Stakeholders and End Users to understand their needs.• Create features that meet the Definition of Ready (DOR), ensuring they are clearly defined, feasible, and valuable.• Write user stories in Given-When-Then (GWT) format and maintain an organized backlog.• Prioritize the Scrum Team's backlog based on business value.• Ensure the correct implementation of user stories by clarifying uncertainties and assisting in task breakdown.• Assess the work done by the Development Team, providing feedback to ensure adherence to requirements and quality standards.• Actively participate in Agile ceremonies and solution design meetings.• Regularly communicate with the Scrum Team and Business Stakeholders to provide updates and ensure alignment with the product vision.• Embody United's culture and values, delivering outstanding customer service.Qualifications:• Expertise in Medicaid and DSNP Claims Domain (Subject Matter Expert).• Experience in capturing requirements or writing standard operating procedures/job aids in a healthcare claims setting.• Proven experience in managing a project from ideation to post-deployment.• Knowledge of CSP Facets (frontend and backend).• Beginner understanding of Agile Methodology.• Intermediate level proficiency in Microsoft Office products (Excel, Word). Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization.  Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors. #RTA

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