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About the Role

We are seeking a Business Systems Analyst II to perform advanced technical tasks within a project team focused on Medicare claims tracking and medical review systems. The role involves gathering requirements, conducting systems analysis, and documenting procedures across a complex operational environment.

Key Responsibilities

Collect, document, and manage both business and functional requirements related to a large-scale Medicare claims tracking and reporting system.
Analyze workflows including claim selection, medical record requests, medical review, and error rate reporting within Medicare Fee-for-Service processes.
Support enhancement and maintenance of web portals and data reporting tools used by CMS, Medicare Administrative Contractors, and healthcare providers.
Translate business needs into clear system specifications for development and quality assurance teams.
Document requirements for role-based access controls and permissions across a multi-tenant web portal with up to 500 concurrent users at 150+ sites.
Assist in designing and maintaining reporting modules covering claim status, appeals, documentation tracking, feedback, and payment adjustments.
Coordinate data refresh schedules, reporting period updates, and system configuration changes.
Develop web-based training documentation and user support materials for both internal and external users.
Contribute to privacy and security documentation including Privacy Threshold Analyses, Privacy Impact Assessments, and System Security Plans to comply with CMS and HHS policy, FISMA, FedRAMP, NIST SP 800-53, and CMS IS2P2 standards.
Track and manage remediation activities and Plan of Action & Milestones (POA&M) items.
Engage with CMS program staff, contractors, and technical teams through meetings, working sessions, and deliverable reviews.
Prepare and maintain contract deliverables such as status reports and security artifacts.
Support onboarding procedures like non-disclosure agreements and employee roster submissions.

Qualifications and Experience

Bachelor's degree required.
Minimum 4 years experience in a Business Analyst or Business Systems Analyst role.
Strong familiarity with Medicare Claims operations.
Proficiency in applying analysis methodologies, principles, and techniques to identify solutions.
Experience in evaluating complex data and reporting results, including SQL skills.

Preferred Competencies

Hands-on experience with dot.net implementations.
Capability to develop data collection and recording criteria enabling verification and reproducibility of outcomes.
Experience with test script writing and software testing.

Terms and Additional Information

This is a contract position with W2 pay status.
Hourly pay rate is $28.
Contract duration extends up to 5 years.
Position is fully remote.
No C2C (Corp-to-Corp) arrangements allowed.

Junior Analyst