Job Description

Posting number: 2026-03471

Department: NVHA - NEVADA HEALTH AUTHORITY DIRECTOR'S OFFICE

Job classification: IT BUSINESS ANALYST

Posting type: Open Competitive

Categories: IT and Computers

Summary

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.

Examples of duties

One or more years of applicable experience as described in the job duties and graduation from high school or equivalent education.

Additional Position Requirements:

• 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 is required.

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. Perform related duties as assigned.

Supplemental information

Knowledge of:

• Modern computer hardware and software; principles, practices, and procedures required for designing and implementing information system-based solutions; a variety of end-user tools and applications; sources of information and research techniques; problem-solving methods.

Skill in:

• Testing and implementing computer systems changes.
• Analyzing information, problems, or practices to identify relevant concerns, patterns, tendencies, and relationships, and formulate logical conclusions.
• Writing concise, logical, grammatically correct analytical reports.
• Obtaining information, explaining policies and procedures, and persuading others to accept or adopt a specific opinion or action.
• Negotiating and exchanging ideas, information, and opinions with others to formulate policies and procedures and reach consensus.
• Organizing materials, information, and resources to optimize efficiency.
• Developing, analyzing, and interpreting program requirements.
• Interpersonal and communication, both verbal and written.
• Use and operation of office and job-related equipment and software.

Ability to:

• Analyze problems of limited complexity; analyze data and reach logical conclusions.
• Maintain effective working relationships with others; write business correspondence; read and understand technical information.
• Perceive and define cause and effect relationships in business processes and automated systems; troubleshoot computer operating problems; analyze organizational and administrative programs, policies, and procedures and prepare plans for revision; apply program regulations, policies, and procedures and select alternative methods that affect the manner and speed with which program activities occur.
• Interpret and apply broad and ambiguous laws and regulations; compute ratios, rates, and percentages; decompose problems into constituent parts.
• Interview users to identify needs; make decisions on appropriate actions after reviewing alternatives.

Recruiter Information: Jennifer Trachet; jtrachet@admin.nv.gov