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Business Analyst - Medicaid Bureau of Financial Operations

The Division of Medicaid is currently seeking a Business Analysts with a value care, budget, and reimbursement focus. This position is located in the Bureau of Financial Operations in Boise.

We are seeking a candidate with strong leadership abilities; experience researching and analyzing documents to ensure compliance with federal and state laws, regulations, and accounting principles; project management skills; communication and interpersonal skills; problem solving skills; critical thinking skills and team learning competencies. 

The ideal candidate is one with the ability to multi-task, work independently and have strong organization skills as well as detail orientation.

We have the one of the Nation's best state retirement systems (PERSI) that offers a lifetime benefit. 
  • excellent medical, dental and vision insurance-employee only coverage for PPO $65/month for medical and vision & $11.00/month for dental 
  • generous vacation and sick leave accrual beginning as soon as you start 
  • 11 paid holidays a year 
  • paid parental leave
  • multiple savings plans, optional 401K, and optional 457
  • basic life insurance for employee and family 
  • employee covered at one times annual salary
  • spouse covered at $10,000
  • child covered at $5,000
  • wellness programs 
  • ongoing training opportunities 
  • an opportunity for student loan forgiveness  
  • and more!

Our generous benefits package increases the total compensation of a full-time (benefits eligible) Medicaid Business Analyst making $29.75/hour to an estimated $42.16/hour.
If you have previously applied for Business Analyst and wish to be considered for these vacancies, you must reapply under this announcement. Previous scores will not be used.

Example of Duties

  • Specialize in managed care or value care programs and related payment methodologies.
  • Collaborate with policy and management to draft changes to rule, state plan, fee schedules, waiver application, or to design, modify, implement and participate in policy and reimbursement strategies. 
  • Independently manage, control, and monitor a wide range of financial, policy, and budgetary functions.  This includes development and maintenance of financial policies and procedures.
  • Support appropriate reimbursement for state services including hospitals, durable medical equipment suppliers, school-based service providers, Federally Qualified Health Clinics, Rural Health Clinics, waiver services, and various other providers. 
  • Research and analyze data for accuracy, trends, variances, and updates to ensure acceptable business practices and procedures have been followed and for compliance with Federal and State laws and regulations in general and those related to Medicaid specifically. 
  • Document the process and procedures for changes that occur and communicating updates to key personnel.  This also involves making decisions on DHW's behalf regarding changes that involve key stakeholders.  Collaborate with technical resources and managers to ensure changes follow DHW, State, and Federal requirements and regulations.
  • Analyze, research, maintain, or audit financial data for completeness and compliance with federal and state laws and regulations and conduct research into the financial needs of Medicaid. This can include developing financial documents, and problem solving.
  • Communicate and problem-solve to foster professional interpersonal relationships required with other intergovernmental financial professionals, program budgeting, and project managers within the Department. This will include assisting Medicaid systems and other internal staff, providers and stakeholders with payment and reimbursement questions or updates at a detailed level.
  • Supervise and direct the activities and performance of relevant Reimbursement Unit staff; hire, train and evaluate. 
  • Complete other duties, tasks, or assignments as assigned by management.
Minimum Qualifications
You must possess all the minimum qualifications listed below to pass the exam for this position. Click on the Questions tab associated with this announcement for the details regarding minimum qualification requirements. The Supplemental Questions on the application are the exam questions. If it is a written answer, please make sure you answer each question with enough detail to determine how you meet the requirements. Do not put “See resume” as your answer to written questions. Answer each written question thoroughly. Failure to do this may result in not passing the exam and disqualify you from being considered for this position.

  • Good knowledge of project management.
  • Good knowledge of organizational/business analysis and evaluation.
  • Good knowledge of process improvement methodology.

Supplemental Information

Below are additional qualifications. They are not required, however, having the minimum qualifications and the education and/or experience below will increase your score. Please answer each item below with enough detail to determine you meet each requirement to receive extra credit.

  1. Knowledge of Private or Public Healthcare. Requires at least one (1) year of experience in a public or private health care setting, managed care setting, value care setting or insurance billing clearing house where use of medical codes was a function of the job.
  2. Experience in business operations working with financial data, setting reimbursement rates, or budget oversight. Gained by at least one (1) year of experience working with large computer systems to process financial data or rate setting.


Hiring is done without regard to race, color, religion, national origin, sex, age or disability. If you need special accommodations to satisfy testing requirements, please contact the Division of Human Resources at (208) 334-2263.
Preference may be given to veterans who qualify under state and federal laws and regulations.