Functional Analyst/SME on Provider Manager Module
Location: Remote
Duration: 18 months for consultants
We are seeking a Business Analyst (BA) or Functional Analyst with experience supporting Health and Human Services (HHS) or state health department programs.
This position will function as both a Business Analyst and a Provider Management Module (PMM) Functional Analyst, serving as the subject matter expert for healthcare provider lifecycle workflows, compliance regulations, and provider network management processes.
The ideal candidate will translate complex business needs into clear functional requirements for engineering teams.
Key Responsibilities
Facilitate Joint Application Design (JAD) sessions with stakeholders to gather business requirements and expectations.
Translate operational workflows into detailed functional documents, use cases, and business requirement frameworks.
Perform current-state vs. future-state gap analysis and define software logic for provider self-service portals, credentialing workflows, tax ID verification, and demographic management.
Ensure system design aligns with federal guidelines, NCQA standards, and state healthcare administrative requirements.
Act as the key liaison between business stakeholders and technical teams, communicating business rules and technical constraints clearly.
Map data definitions and integrations across external systems, including Electronic Health Records (EHR), provider identifier databases, and claims processing systems.
Support validation and testing by building test strategies and reviewing user acceptance criteria.
Required Qualifications
10+ years of experience working with government health and human services applications/programs.
Minimum 3 years of experience working with state or federal Provider Management systems.
Experience creating functional design documents, technical schemas, and process workflows.
Familiarity with healthcare messaging architectures and SQL for validation.
Experience with MMIS, payer enrollment tools, or large-scale hospital credentialing systems.
Hands-on experience with tools such as , , or .
Strong communication and stakeholder management skills with the ability to align priorities across teams.
Ability to break down complex regulatory guidelines into clear, manageable phases.
Ability to create precise functional documentation independently.
About Cyquent
Cyquent is a CMMI & ISO Certified Technology Enabler providing end-to-end IT solutions and services to organizations in both the public and private sectors since 2001. We are known for delivering high-quality, scalable solutions across complex enterprise environments.
Why Join Cyquent?
This is an opportunity to work alongside a high-performing technology team supporting a wide range of enterprise and public sector clients. You''ll gain hands-on experience working on impactful projects in a collaborative and fast-paced environment.
We offer:
- Competitive salary and 401(k)
- Comprehensive health benefits (medical, dental, and vision) starting on Day 1
- Paid time off annually, plus state holidays
- Support for professional growth, including certification assistance and continued learning opportunities
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