Senior Medicaid Business Analyst

New
USAContractSenior
Salary not disclosed
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Job Details

Experience
7+ years
Required Skills
Business Analysis

Requirements

  • 7+ years as a Business Analyst in Medicaid or Healthcare domain
  • Strong knowledge of MMIS modules (Claims, Eligibility, Provider, Member, Finance, etc.)
  • Experience with Medicaid Claims Processing workflows
  • Experience working with cross-functional teams and state-level Medicaid programs
  • Strong analytical and problem-solving skills
  • Excellent communication and documentation abilities

Responsibilities

  • Analyze Medicaid/Healthcare business processes and provide recommendations for improvements
  • Work with stakeholders to gather, document, and validate business and technical requirements
  • Support MMIS functional enhancements and integrations
  • Perform gap analysis, impact assessments, and workflow documentation
  • Collaborate with technical teams to translate requirements into functional specifications
  • Support testing activities including UAT, test case creation, and validation
  • Ensure compliance with Medicaid regulations, CMS guidelines, and state policies
  • Prepare reports, presentations, and process documentation as needed
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