Medicaid Subject Matter Expert/Data Specialist

This role plays a critical part in designing, developing, and maintaining Reports and Dashboards that support Medicaid analytics, federal reporting, and enterprise decision support. The ideal candidate brings strong Tableau and Python engineering expertise, experience working with large healthcare datasets, and the ability to operate effectively in a regulated, audit-sensitive environment. This is a delivery-focused role requiring close collaboration with architects, analysts, QA, PMs, SMEs, de

Hiring Senior Business Analyst Medicaid/MMIS SME Location: Hybrid Key Responsibilities Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modulesLead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories)Translate complex business needs into clear functional and technical requirementsCollaborate with stakeholders, product owners, and development teamsEnsure compliance with CMS guidelines, HIPAA, and state Medicaid regulations

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary At Aetna , part of CVS Health, we prou

1. Role: Senior Business Analyst Medicaid/MMIS SME (D04) Key Responsibilities Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modulesLead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories)Translate complex business needs into clear functional and technical requirementsCollaborate with stakeholders, product owners, and development teamsEnsure compliance with CMS guidelines, HIPAA, and state Medicaid regulationsSupport