We are seeking a highly skilled Senior Medicaid Business Analyst with strong experience in Healthcare, Medicaid programs, and MMIS. The ideal candidate will support business process analysis, requirements gathering, documentation, and system enhancements within Medicaid operations. This role requires excellent understanding of Medicaid claims processing, provider management, member eligibility, and regulatory compliance.Responsibilities:Analyze Medicaid/Healthcare business processes and provide recommendations for improvementsWork with stakeholders to gather, document, and validate business and technical requirementsSupport MMIS functional enhancements and integrationsPerform gap analysis, impact assessments, and workflow documentationCollaborate with technical teams to translate requirements into functional specificationsSupport testing activities including UAT, test case creation, and validationEnsure compliance with Medicaid regulations, CMS guidelines, and state policiesPrepare reports, presentations, and process documentation as neededRequired Skills:7+ years as a Business Analyst in Medicaid or Healthcare domainStrong knowledge of MMIS modules (Claims, Eligibility, Provider, Member, Finance, etc.)Experience with Medicaid Claims Processing workflowsStrong analytical and problem-solving skillsExcellent communication and documentation abilitiesExperience working with cross-functional teams and state-level Medicaid programs
5 days ago