Senior Business Analyst - Health Insurance Policy SME

 Who we are:


Tria Federal delivers digital services and technology solutions that support the health and safety of veterans, service members and civilians. For two decades, federal agencies have relied on Tria companies to advance their critical missions and modernize their systems, so that they can uphold their commitment to the American people. Today, we are pushing the boundaries of possibility through partnerships and investments in artificial intelligence and emerging technologies, developing solutions for the biggest challenges that government will face tomorrow.


We are proud to employ and support military veterans who bring mission-first mindset, technical expertise, and leadership qualities that strengthen our work. Veterans, transitioning service members, and military spouses are strongly encouraged to apply.

Senior Business Analyst/Health Insurance Policy SME


Job Description: 


Softrams is seeking a Senior Business Analyst/Health Insurance Policy SME with strong domain expertise in Medicare program knowledge, including understanding of Medicare Advantage (Part C) and Prescription Drug (Part D) programs, policies and data. The candidate will also possess knowledge of the prescription drug and pharmacy industry, including familiarity with established Electronic Data Interchange (EDI) standards, pharmacy data infrastructure, and drug coding conventions. The individual will be responsible for requirements analysis, legislative interpretation, and stakeholder engagement. The Senior Business Analyst/Health Insurance Policy SME works with the team to prioritize policy changes and features and build software products. This role is part of a collaborative and agile team that supports and builds modern, usable, and responsive applications for mission-critical health IT solutions. 


This is a 100% remote employment opportunity. All remote work must be performed in the United States.  


Basic Requirements:  

• Ability to successfully obtain a U.S. Federal Position of Trust clearance designation.  


• Must reside in and be able to perform work in the United States. 


• Must have lived in the United States for 3 of the last 5 years.


• A bachelor’s degree is required.


• 8+ years of experience in working in software agile delivery with sprint teams to implement solutions in line with product requirements and using agile collaboration tools (Jira, Confluence, etc.).  


• 5+ years of total experience as a business analyst, product analyst, product owner, and experience supporting the capture of requirements and developing business process models. 


• 3+ years of experience with healthcare IT programs including working on Medicare Advantage and Prescription Drug programs.  

Additional Qualifications:  

• Demonstrated abilities to analyze complex business processes and operations; represent user needs as user story requirements; and identify gaps and come up with improvements. 


• Demonstrated ability to exercise creative and critical thinking to identify and evaluate alternatives toward arriving at decisions with stakeholders. 


• In-depth knowledge of the prescription drug and pharmacy industry, including familiarity with established Electronic Data Interchange (EDI) standards, pharmacy data infrastructure, and drug coding conventions.


• Excellent oral and written communication skills and ability to document complex problems in a simple & intuitive manner that others can understand. 


• Experience working with public facing civic tech projects. Other government contract experience will be considered. 


• Experience with Scaled Agile Framework (SAFe). 


• Agile certifications relevant to product owner and product analyst roles (e.g., PMI-ACP, CPM, CPO, CSM, PSM, SAFe POPM). 


• Ability to perform business process modeling and develop business process flows and concepts of operation for complex systems.   

  Responsibilities:

• Work with dynamic and multi-functional teams to help develop and/or enhance products on a day-to-day basis. 


• Follow an Agile methodology while performing in a highly collaborative environment to deliver incremental working software with end-to-end user experience in mind. 


• Be an expert in the client’s regulations, policies, and systems. 


• Work with the Product Owner and Product Manager, designers, the customer, users, and other stakeholders to capture product requirements as user stories with robust acceptance criteria that meet customer needs and address pain-points. 


• Conduct policy analysis toward developing and adapting business requirements. 


• Conduct product analysis sessions, work group calls, user research, and usability testing and engage customers to provide requirements and feedback. 


• Work with sprint team to implement and accept user stories as defined. 


• Work with the customer to develop agile documentation and oversee quality assurance activities (SOPS, QA processes, metrics, reporting). 


• Develop Change Requests following change control policies and procedures established to monitor and control product vision.  

Why Tria?
What defines the Tria brand is more than just our dedication to excellence in our craft; it’s our incredible team of dedicated, talented, and passionate people that make Tria so exceptional. As people powering possible, we are all partners in our team’s shared success.

As a company that cares about people, we seek to cultivate a culture in which all can thrive personally and professionally. We offer a top-tier benefits package to invest in your physical, mental, and financial health and wellness so that you can be your best self - at work and in life. At Tria, we are growth-minded, entrepreneurial in spirit, and committed to fostering a culture of inclusion and opportunity for all. Whatever your background, your role, your department, or stage in your professional journey, here you will have opportunities to learn new skills, seize new challenges, and advance your career as we grow. 

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