Executive Service
BUSINESS IMPROVEMENT ANALYST
Tennessee Division of TennCare, Compliance & Policy Group (CPG)
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Nashville, TNMinimum Monthly Salary $5,508.00
TennCare compensation is equitable and will be based on education and experience for a qualified candidate in accordance with Department of Human Resources (DOHR) policy. This position requires a background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need. You may review the specific expectations with our hiring team.
Closing Date: 07/12/2023
Who we are and what we do:
TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).
TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.
Key Responsibilities:
- Develop, review, and maintain business process related materials (including but not limited to system use instruction, desk guides, project management trackers, business process documents.)
- Conduct analysis of business requirements to ensure testing of change requests, process improvements, and defect resolutions are considered per Tenncare guidance and direction.
- Conduct testing and validation of eligibility and enrollment system enhancements/changes; provide feedback regarding the testing to internal and contract IT staff.
- Support TEDS improvements and lead efforts through UAT and validation testing of code changes related to system enhancements and defect resolution. Review results and anticipated outcomes for UAT testing. This includes setting up meetings, taking the lead on assigning, reviewing, and executing test scripts, as well as being the main contact and support for other testers.
- Develop modified scripts for testing. Evaluate testing results to ensure the change requests are in line with TennCare expectations for system functionality. Coordinate with other groups within Tenncare Member Services as well as Deloitte and other stakeholders on the strategy for UAT. Develop and deliver training, support, and guidance for staff regarding UAT including testing for planned releases as well as stress testing and ADHOC testing.
- Perform analysis of eligibility system errors related to expected results and determine possible root cause.
- Liaison with interagency divisions and technical support groups to ensure eligibility systems support the business process of the Member Services business units.
- Utilize a variety of computer systems and databases in the support of the eligibility determination business process.
Job Overview:
The Division of TennCare is seeking a Business Improvement Analyst to work in the Compliance and Policy Group within Member Services. This position will report directly to the Business Systems and Data Administrator. The Business Improvement Analyst will be responsible for serving as a liaison to TennCare Information Systems and TennCare’s system contractors. This position will create/review business requirements to ensure systems are functioning in accordance with eligibility and enrollment policies. This position will perform business process analysis and make recommendations for business systems improvements. This includes the submittal of change requests and will participate in end-to-end user acceptance testing prior to the implementation of systems changes to ensure changes follow Member Services business needs.
Minimum Qualifications:
Education and Experience:
- Graduation from an accredited college or university with a bachelor's degree in a related field (preferred degree in business administration, management, public health, or health policy) and two (2) years of qualifying professional experience in a relatable setting.
OR
- Graduation from an accredited college or university with an associate’s degree in a related field (preferred degree in business administration, management, public health or health policy) and four (4) years of qualifying professional experience in a relatable setting.
Substitution of experience for education:
- Experience equivalent to six (6) or more years of qualifying professional experience in a relatable setting.
- Ability to adapt to changing priorities and deadlines
- Ability to foster and maintain cohesive working relationships
- Ability to interpret and execute policies and procedures
- Ability to exercise sound judgment
- Excellent organizational skills, including the ability to prioritize, multi-task and manage workload to meet specific timeframes and deadlines
- Ability to identify the developmental needs of others and coaches, mentors, or otherwise helps others to improve their knowledge or skills
- Excellent writing and communication skills
- Advanced research skills, including the ability to locate and analyze documents and integrate information from multiple sources
- Strong work ethic, with an ability to receive and implement constructive feedback
- Ability to work independently while also working as part of a team in a fast-paced environment
- Willingness to support and foster the team’s culture
Desirable qualifications:
- Graduation from an accredited college or university with a master's degree in business administration, management, public health, or health policy and one of the following:
- Four (4) to six (6) years of experience within TennCare
- Four (4) to six (6) years of experience within a Medicaid, managed care, or healthcare organization.
- Experience in business process improvement and systems user acceptance testing preferred
Pursuant to the State of Tennessee’s Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State’s policy to provide an environment free of discrimination and harassment of an individual because of that person’s race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran’s status, or any other category protected by state and/or federal civil rights laws.
