Senior Medicaid Business Analyst
New
A
AppworkshubHealthcare Finance
USAContractSenior
Salary not disclosed
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Job Details
- Experience
- 7+ years
- Required Skills
- Business Analysis
Requirements
- 7+ years of experience as a Business Analyst in the Medicaid or Healthcare domain
- Strong knowledge of MMIS modules such as Claims, Eligibility, Provider, Member, and Finance
- Demonstrated experience with Medicaid Claims Processing workflows
- Strong analytical and problem-solving capabilities
- Excellent communication and documentation skills
- Experience working with cross-functional teams
- Experience working with state-level Medicaid programs
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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