Team Lead - TPL & Prior Authorization – Saint Paul

Affiliated Computer Services, Inc., ACS, is a global FORTUNE 500 company with more than 55,000 plus people working together to support client operations in nearly 100 countries. By providing business process outsourcing, human resources outsourcing and information technology solutions to world-class commercial and government clients, ACS offers its associates vast opportunities to succeed. Recognized worldwide for generating possibilities and creating solutions, ACS welcomes you to become part of our growing team. Join our mission and vision for the future. Thank you for your interest!


Team Lead - TPL & Prior Authorization

Responsibilities Related to the Project

• Lead a team of Senior Business Analysts and business analysts responsible for development of Alaska-specific requirements for TPL and Prior authorization functions
  
  
• Coordinate work assignments for team members and ensure work products and activities comply with system development standards and methodologies
  
  
• Serve as a Subject Matter Expert to the team, sharing knowledge during interaction with the customer; is familiar with subsystem artifacts, ensures unmet requirements are recognized and addressed,, help resolve system design issues
  
  
• Directs the team effort in identifying issues, conducting requirements analysis and defining changes to artifacts
  
  
• Review subsystem use cases and provides input on changes to workflows
  
  
• Supervise development of customer deliverables; works with developers to resolve requirements issues and validate requirements are being met
  
  
• Supervise development of test plans, including review detailed test cases, development of test data, and results from system/integration testing
  
  Required Qualifications
  
  
• BS/BA degree preferred or equivalent work experience
  
  Desired Prior Experience
  
  
• At a minimum, Senior Business Analyst in a related area (TPL or PA) during a current or recent MMIS development project
  
• Minimum of three years of MMIS experience or five years of Medicaid program experience
  
• Responsible for or serving a key role in handling development for one or more of the following functions:
  oCoordination of Benefits/Third Party Liability data maintenance and operations
  oPrior Authorization responsibilities and system functions
  oInterfaces with commercial insurers for coordination of benefits and post-payment recovery
  oInteraction with medical specialists and other external authorizing organizations
  
• Experience working with process oriented business users in the health care environment
  
• Experience with system development activities including requirements definition,, requirements traceability tools, testing and/or construction
  
  ACS is an Equal Employment Opportunity/Affirmative Action Employer and does not discriminate against any applicant on the basis of race, color, religion, national origin, age, gender, marital status, disability, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance.
  
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