Business Analyst – Medicaid Claims Processing
Location: Springfield, IL
About Us:
Known for “Delighting the Client” through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects.
Why S2Tech?:
- Stable, privately-owned company with a strong reputation for building long-term client relationships through the delivery of consistent value-based service
- 25+ years providing IT and Business services to private customers and government programs throughout the United States
- Expansive client portfolio and active projects – employees benefit from innovative project exposure and in-house skill development training/courses
- Corporate culture that emphasizes the importance of family and promotes a healthy work-life balance
- Offer competitive pay and a range of benefits, including:
- Medical / Dental / Vision Insurance – insurance premium assistance provided
- Additional Insurance (Life, Disability, etc.)
- Paid Time Off
- 401(k) Retirement Savings Plan & Health Savings Account
- Various training courses to promote continuous learning
- Corporate Wellness Program
- Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural/urban divide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities, allowing them to link their professional & educational goals
Job Overview:
We are seeking a Business Analyst with Medicaid Claims Processing experience to support a State Medicaid program in Springfield, Illinois. This role will work closely with State staff to analyze, document, and support Medicaid claims processing workflows, reporting, and system interactions. The Business Analyst will contribute to operational readiness, compliance with federal Medicaid requirements, and ongoing process improvement initiatives. This position requires hands-on experience working within Medicaid environments, the ability to translate complex claims and policy requirements into clear business and system documentation, and the capability to collaborate effectively in an on-site government setting.
Responsibilities:
- Analyze and document Medicaid claims processing workflows, including intake, adjudication, adjustments, and reporting
- Serve as a liaison between program staff, technical teams, and project leadership to clarify business needs and requirements
- Support analysis related to Medicaid claiming logic, expenditure reporting, and downstream financial impacts
- Develop and maintain business requirements, functional specifications, process flows, and standard operating procedures
- Assist with data validation, reconciliations, and issue analysis related to claims processing and reporting outcomes
- Support review and improvement of existing policies, procedures, and controls related to Medicaid operations
- Participate in on-site working sessions, knowledge transfer, and collaboration with State staff
- Contribute to project status reporting, issue tracking, and documentation required for program oversight
- Ensure alignment with applicable federal Medicaid rules, CMS guidance, and State policies
Required / Preferred Experience:
- Minimum 3 years of experience as a Business Analyst supporting Medicaid programs, with direct exposure to claims processing
- Demonstrated understanding of Medicaid claims lifecycle, including eligibility interfaces, MMIS interactions, and financial impacts
- Strong background in business process analysis, documentation, and stakeholder facilitation
- Ability to clearly communicate complex Medicaid and claims concepts to both technical and non-technical audiences
- Experience working in government or public sector environments
- Ability to work on-site in Springfield, IL, during standard State business hours
Preferred:
- Experience supporting Illinois Medicaid or other state Medicaid agencies
- Familiarity with CMS reporting constructs (e.g., CMS-64, CMS-21, CMS-37) and how claims data feeds federal reporting
- Experience supporting audits, reconciliations, or compliance reviews related to Medicaid claims or financial reporting
- Proficiency with tools such as Microsoft Excel and documentation platforms used in government environments
S2Tech is committed to hiring and retaining a diverse workforce. We are an equal opportunity employer making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.
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