Medicaid Enterprise Systems (MES) Business Analyst - Virgin Islands

Overview

Remote
On Site
$$110,000 - $125,000
Full Time
Accepts corp to corp applications
Contract - W2
Contract - possible exten(s)ion
10% Travel

Skills

Project Management
PMO
MEDICAID
DISABILITY
OPERATIONS
Desktop Applications
SOW
Contract Management
Artificial Intelligence

Job Details

Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of transforming the public sector's IT environment. Our team is on the forefront of helping to solve the government's most complex IT challenges. If you are seeking a role that offers the opportunity to work on rewarding projects, consider a career with Cloud and Things.

*This is an exempt position. Salary commensurate with experience*

Overview:

We are seeking a Medicaid Enterprise Systems (MES) Business Analyst to support a client's Medicaid Management Information System (MMIS) Eligibility and Enrollment (EE) functions. The role involves supporting ongoing operations of the Medicaid EE solution in collaboration with RedMane, maintaining the fee-for-service (FFS) MMIS with Gainwell, and assisting in the implementation of Provider Enrollment and Electronic Visit Verification (EVV) solutions, also with Gainwell.

Duties:

  • Work to be conducted in the AST Time Zone, remotely, but with travel to the USVI 1-2 times per quarter.

  • Focus on the USVI's Department of Human Services (DHS) Medicaid Agency Program (MAP)

  • Help to support the agency's contract management efforts.

  • Communicate project and delivery status to our clients, team members, and other interested parties, including the facilitation of client meetings.

  • Provide systems expertise with a strong understanding of the vendor marketplace and systems implementations.

  • Collaborate effectively and build strong working relationships with team members, including client contacts and vendor partners, to help ensure alignment, clear communication, and shared project goals.

  • Utilize knowledge and experience to lead and project manage client projects, particularly Medicaid systems projects. This includes helping develop client deliverables such as complex analysis reports, ongoing status reports, data and technical strategy plans, and presentations.

Mandatory Qualifications:

  • Bachelor's Degree (BA/BS)-May substitute four years of applicable experience for degree

  • 5+ years experience supporting a PMO.

  • 5+ years experience functioning as a Business Analyst.

  • 3+ years experience managing vendors and vendor contracts.

  • 3+ years experience supporting vendor contracts through the Statement of Work (SOW) development, review, and approval processes.

  • 5+ years experience with claims processing, provider enrollment, member eligibility and enrollment, electronic visit verification, and contract management.

  • Proficient with Microsoft desktop applications and standard document repositories such as MS SharePoint.

  • Required to travel 1-2 times per quarter to the US Virgin Islands.

Cloud and Things complies with all applicable federal, state, and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other category protected by applicable federal, state, or local laws.

AI-Assisted Resume Evaluation Notice

Cloud and Things Talent Management

Notice to Candidates

Cloud and Things utilizes artificial intelligence (AI) tools to assist our recruiting team in evaluating candidate applications for streamlining; consistency, efficiency, and thoroughness. All hiring decisions are ultimately made by our human recruiting professionals.

How AI Is Used

Our AI tools assist by:

  • Analyzing resumes against job requirements
  • Supporting our recruiters in candidate data evaluation
  • Ensuring consistent review standards across all applications

Important: AI serves as a support tool only. As noted above, all candidate selection and hiring decisions are made by experienced human recruiters. Your unedited resume will be processed by our AI tools as part of this evaluation.

Your Data and Privacy

Cloud and Things Data Handling:

  • Your information is processed securely and used exclusively for recruitment purposes
  • Cloud and Things may store your resume in our Applicant Tracking System (ATS) indefinitely for future job matching opportunities
    • You may opt out of long-term ATS storage by emailing your name and your request to opt out of storing your resume in the ATS to:
  • All personal information is handled confidentially in accordance with our privacy policy

AI Tool Data Processing:

  • AI processing data is retained for a maximum of 90 days, after which it is deleted
  • All data sent to AI tools is encrypted in transit and at rest
  • AI tools comply with applicable privacy laws including GDPR and CCPA
  • Personal data is anonymized or minimized wherever possible during AI processing

Your Participation

By submitting your application, you acknowledge this notice and consent to AI-assisted evaluation as part of our recruitment process.


Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.