Key ResponsibilitiesAnalyze and interpret CMS, Medicaid, and state reporting requirementsSupport T‑MSIS, CMS‑64, CMS‑37, PERM reporting cyclesEnsure MMIS reporting compliance with federal/state regulationsGather, document, and manage business/functional requirements (BRDs, User Stories, Process Flows)Perform data validation, reconciliation, and QA across claims, provider, member, and financial datasetsServe as liaison between State Medicaid agencies, reporting teams, and ITDevelop and execute test scenarios for reporting enhancements (SIT, UAT, regression)Support monthly, quarterly, and annual reporting cycles, audits, and compliance reviewsRequired Skills5+ years of Business Analyst experience3+ years of MMIS/Medicaid experienceStrong knowledge of Medicaid data (claims, providers, members, encounters, financials)Federal reporting programs: T‑MSIS, CMS‑64, CMS‑37, PERMStrong SQL & data analysis skillsExperience in Agile/Waterfall environmentsPreferred QualificationsMMIS modernization or O&M experienceKnowledge of EDI transactions (837, 835, 270/271)Experience with Cognos, Power BI, TableauSupporting CMS audits & certification activitiesCBAP or PMI‑PBA certification
9 days ago