Nine or more years of experience as a Business Analyst or requirements lead
Experience supporting Medicaid or healthcare system implementations
Strong knowledge of requirements elicitation and writing, SDLC/PLC processes
Proven ability to lead requirements elicitation, design coordination, and delivery of complex system solutions
Requirements:
Take ownership of business analysis leadership on a large, cross-functional modernization effort
Serve as the lead Business Analyst and Project Business Lead for the D.0 to F6 NCPDP upgrade initiative
Oversee the full lifecycle management of structured solution changes across the BA team
Act as a primary liaison to Client, partnering with the Project Manager to lead requirements and design discussions
Job description
Duration: 6+ Months Contract with possible extension Summary: As an Advisor Business Analyst, you will lead business analysis efforts for complex, high-impact healthcare initiatives. In this role, you will serve as the Project Business Lead (BL) for the Pharmacy F6 / NCPDP upgrade, driving coordination across multiple Business Analysts and ensuring delivery of a cohesive, compliant, and end-to-end solution.
You will partner with project leadership and client stakeholders to translate business needs into high-quality system solutions that improve outcomes for the Wisconsin Department of Health Services, Medicaid members, and providers.
Required Skills & Experience:
Nine or more years of experience as a Business Analyst or requirements lead, with demonstrated ability to translate between technical and non-technical stakeholders
Experience supporting Medicaid or healthcare system implementations (required)
Strongly preferred: Experience with NCPDP standards (e.g., D.0, F6) and pharmacy transaction processing, with exposure to related functional areas such as EDI, claims adjudication, coordination of benefits (TPL/subrogation), prior authorization, or benefit/rules configuration
Demonstrated experience leading Business Analyst teams and coordinating across cross-functional business, technical, and operational teams on large, complex IT projects
Proven ability to lead requirements elicitation, design coordination, and delivery of complex system solutions
Strong knowledge of requirements elicitation and writing, SDLC/PLC processes, and alignment of requirements to testing and validation activities
Ability to drive quality, consistency, and accountability across multiple contributors and deliverables
Strong facilitation and communication skills, with the ability to lead client-facing discussions and influence outcomes
Serve as the designated Project Business Lead on a high-visibility pharmacy transaction modernization initiative
Work closely with project leadership (PM, Technical Lead, and Test Lead) as part of the core delivery team
Lead a distributed team of Client supporting multiple functional areas and solution components
Engage directly with state client stakeholders (Client) on requirements, design, testing validation, and solution acceptance
Opportunity to lead similar large-scale efforts after this one is completed
Roles & Responsibilities:
Take ownership of business analysis leadership on a large, cross-functional modernization effort supporting pharmacy claims processing standards.
Serve as the lead Business Analyst and Project Business Lead (BL) for the D.0 to F6 NCPDP upgrade initiative
Oversee the full lifecycle management of structured solution changes across the BA team, assigning ownership, guiding development, and ensuring each item meets standards for documentation, coordination, traceability, and progression through approval, implementation, and closure
Act as a primary liaison to Client, partnering with the Project Manager as a co-face of the project to lead requirements and design discussions
Lead and facilitate requirements workshops, design sessions, and solution walkthroughs, ensuring stakeholder alignment and consensus
Ensure end-to-end solution integrity by aligning requirements, technical design, operational impacts, and validating feasibility in partnership with the Technical Lead
Coordinate with the Test Lead and testing team to ensure alignment of test scenarios and test cases, validate coverage across functional areas, and support defect triage during SIT/UAT
Enforce quality assurance standards across all BA deliverables, including final review, traceability validation, and readiness for PMO, Sponsor, and Client review
Maintain project coordination and communication activities, including capturing and distributing meeting minutes, tracking status of work items, and providing regular updates to Project Managers and other stakeholders
Support the Project Manager in BA team resourcing, SME engagement, scheduling, and workload balancing
Coach and mentor BA team members, promoting consistency, accountability, and adherence to standards.
Disclaimer: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com. US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.
