Senior Business Analyst role in Healthcare (Medicaid)

Remote • Posted 11 hours ago • Updated 11 hours ago
Contract Independent
Contract W2
Remote
$50 - $70/hr
Fitment

Dice Job Match Score™

⭐ Evaluating experience...

Job Details

Skills

  • Medicaid
  • MMIS
  • Claims Processing
  • Eligibility Systems
  • Provider Management
  • Business Analysis
  • FRD
  • HIPAA
  • CMS
  • Health Care
  • QNXT
  • Defect Management

Summary

Senior Business Analyst Medicaid/MMIS SME
Remote
Longterm project
Contract to Hire
Key Responsibilities:
  • Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules
  • Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user
  • stories)
  • Translate complex business needs into clear functional and technical requirements
  • Collaborate with stakeholders, product owners, and development teams
  • Ensure compliance with CMS guidelines, HIPAA, and state Medicaid regulations
  • Support defect management, and production support
  • Identify process improvements and support system modernization initiatives
  • Mentor business analysts and contribute to Agile delivery
Requirements:
  • 7 12 years of experience in Medicaid domain, with strong MMIS experience
  • Deep understanding of claims processing, eligibility, and provider management systems
  • Proven experience in business analysis, stakeholder engagement, and documentation
  • Hands-on experience with Agile/Scrum methodologies
  • Strong analytical, communication, and problem-solving skills
  • Preferred Qualifications
  • Experience with MMIS platforms (Facets, QNXT, MES, etc.)
  • Knowledge of HL7/FHIR and healthcare data exchange standards
  • Experience working with state Medicaid agencies or healthcare payers

    Rohit
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.
  • Dice Id: 91134925
  • Position Id: 8939125
  • Posted 11 hours ago
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