About the Department

This position is within the Nevada Health Authority Enterprise It & Innovations Office, Business Process Management Unit and is responsible for duties related to enhancements to the Medicaid Management Information System (MMIS) and it's peripheral systems, research and resolution of issues related to specific business functions of the systems including but not limited to: claims, eligibility, prior authorizations, recipient information and other data elements. Incumbents apply in-depth knowledge of Nevada Medicaid’s program areas to define and implement solutions to identified problems.  Analyze business processes, develop requirements and test system functionality to assess the accuracy and completion of application code.  Monitor quality assurance for a variety of programs.  Must be able to perceive and define cause and effect relationships in business processes and automated systems; work with computer programming staff analyzing information, problems, or practices to identify relevant concerns, patterns, tendencies and formulates logical conclusions.  Analyze new and revised federal and State laws, regulations, and agency policies and interpret their effect on program areas; coordinate with other professional staff.  Requires excellent verbal and written communication skills.  This position requires limited supervision, incumbent performs a full range of journey level duties and may serve as a lead as assigned.  A program is defined as any social welfare or health insurance program.  This position is the technical bridge between program staff and Medicaid’s fiscal agent and MMIS operations vendor(s). This position is pivotal in the change management process to ensure Division staff understands how to best achieve their program goals in the information system(s).

Information Technology (IT) Business Analysts document, analyze, and recommend technical solutions to problems and participate in implementing, supporting, and documenting changes that lead to an improved operating environment.

Position Duties

Minimum Qualifications

1. Apply recognized data processing concepts to business process plans and analyses.
2. Develop work and/or data flow diagrams that illustrate and describe functional processes of the system.
3. Document business and functional requirements for proposed projects.
4. Review and document test results to assess the accuracy and completeness of application code.
5. Monitor quality assurance.
6. Research and evaluate computer hardware and software needs.
7. Analyze business processes, propose improvements, and identify work processes that may be automated.
8. Define potential benefits of proposed systems or deficiencies to be corrected in the existing system.
9. Define and document data definitions and relationships to be used in the foundation of systems development. 
10. Develop procedural alternatives in the absence of properly operating software.
11. Consult with stakeholders to determine business function and end-user requirements.
12. Conduct alternative analyses and develop written requirements for proposed systems and applications.
13. Train individuals in the use of the system and system software.
14. Test systems functionality by preparing test plans and participating in quality assurance.
15. Initiate system work requests.
16. Develop bridging specifications to program areas that interact with processes and output.
17. Consult with programmers regarding the technical requirements, logic, and deficiencies of programs.
18. Participate in recommending and justifying resource allocations and expenditure decisions.
19. Assist in procedure development, evaluation, preparation, and modification.
20. Develop transition plans.
21. Participate in training development and presentation.
22. Review, analyze, and interpret the effects of federal and State laws, regulations, and agency policies.
23. Write technical requirements for grant proposals.
24. Prepare documentation for the computer system manual.
25. Perform related duties as assigned.

Other Qualifications

This job specification lists the major knowledge, skills and abilities of the job and is not all inclusive. Incumbent(s) will be expected to have knowledge, skills and abilities from a previous level.

• Agency policies and procedures related to the program area; automated systems logic; data processing concepts including general database, system security, data communication, and multiple platform strengths and weaknesses; accepted practices and methods used in designing program reviews and evaluations; formal systems design methodologies.

• Coordinate the exchange of information and opinions with others to formulate policy and procedures.

Benefits

Benefits include:

• Health Insurance: Medical, dental, life, and disability insurance programs for employees and their dependents/family are offered through the Public Employees’ Benefits Program (PEBP).

• Vacation: Accrual of three weeks of annual leave each year.

• Sick Leave: Accrual of three weeks of sick leave each year.

• Holidays: 12 paid holidays per year.

• Retirement: Participation in the Nevada Public Employees Retirement System (PERS). Employees do not contribute to Social Security but will contribute to PERS if their position is at 50% or more full-time equivalency. For more information on how PERS service may impact Social Security benefits, visit the SSA publication.

• Deferred Compensation: The State offers a voluntary Deferred Compensation Program.

• No Nevada state income tax.

• Public Service Loan Forgiveness: Eligible due to public sector employment.

• Longevity Payments Eligibility:  Employees who have received a performance rating of “standard” or better and have completed eight (8) or more years of continuous service are eligible for longevity pay.

Additional benefits may apply to employees covered under a Collective Bargaining Agreement (CBA), depending on their designated bargaining unit. For more information, visit the Labor Relations Unit (LRU).

For more details about your rights and responsibilities as a State of Nevada employee, please review the State of Nevada Employee Handbook (PDF).

***State Holidays The holiday schedule for State employees is established by the Legislature. 

The following are legal holidays: 

January 1.............................................. New Year's Day 

Third Monday in January.................. Martin Luther King, Jr.'s Birthday 

Third Monday in February................ Washington’s Birthday 

Last Monday in May........................... Memorial Day 

June 19................................................ Juneteenth Day 

July 4.................................................... Independence Day 

First Monday in September.............. Labor Day 

Last Friday in October....................... Nevada Day 

November 11........................................ Veterans' Day 

Fourth Thursday in November........ Thanksgiving Day 

Friday following the Fourth Thursday in November...................... Family Day 

December 25........................................ Christmas Day 

When January 1, June 19, July 4, November 11, or December 25 falls on a Saturday, the preceding Friday is the observed legal holiday. If these days fall on Sunday, the following Monday is the observed holiday. Eligibility for holiday pay is covered by the provisions of NAC 284.255 

Supplemental Questions

01

Do you have two or more years of applicable experience as described in the job duties and graduation from high school or equivalent education?

• Yes
• No

02

This position requires the applicant to have professional experience in one or more of the following areas: health and human services; social welfare; health insurance; worker's compensation insurance; unemployment insurance; health information technology; or a related environment. Can you meet this requirement?

• Yes
• No

03

Please describe your experience working in one or more of the following areas: health and human services; social welfare; health insurance; worker's compensation insurance; unemployment insurance; health information technology; or a related environment.

Required Question

Agency Information

Employer

State of Nevada (NV)

Address

See Above for Agency Information








See Above for Posting Location, Nevada, 89701

Website

https://nvjobs.nv.gov