Senior Business Analyst - Medicaid/MMIS SME

Atlanta, GA, US • Posted 8 hours ago • Updated 8 hours ago
Full Time
On-site
USD 65.00 per hour
Fitment

Dice Job Match Score™

👤 Reviewing your profile...

Job Details

Skills

  • MITA
  • Forms
  • ADA
  • Requirements Elicitation
  • Process Analysis
  • User Stories
  • Collaboration
  • Regulatory Compliance
  • HIPAA
  • Defect Management
  • Production Support
  • Process Improvement
  • Mentorship
  • Management
  • Documentation
  • Agile
  • Scrum
  • Analytical Skill
  • Communication
  • Conflict Resolution
  • Problem Solving
  • MMIS
  • Facets
  • QNXT
  • MES
  • HL7
  • Microsoft Exchange
  • Medicaid
  • Health Care
  • TCM
  • DICE

Summary

JOB TITLE: Senior Business Analyst - Medicaid/MMIS SME
JOB LOCATION: Remote
WAGE RANGE*: $65hr to $70hr
JOB NUMBER:
26-00634

REQUIRED EXPERIENCE:

15+ years of experience in Medicaid domain, with strong MMIS experience and MITA
Deep understanding of claims processing, eligibility, and provider management systems
Undertanding of the forms HCFA 1500, UB04, ADA. Elements, processing, outcomes
Proven experience in business analysis, stakeholder engagement, and documentation
Hands-on experience with Agile/Scrum methodologies

JOB DESCRIPTION
  • 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

  • 15+ 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

Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities

* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.

#Dice
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: cxtcml
  • Position Id: 26-00634
  • Posted 8 hours ago
Create job alert
Set job alertNever miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Atlanta, Georgia

Today

Full-time

USD 55.00 per hour

Atlanta, Georgia

Today

Full-time

USD 72,800.00 - 104,000.00 per year

Atlanta, Georgia

Today

Full-time

USD 86,800.00 - 124,000.00 per year

Atlanta, Georgia

Today

Full-time

USD 144,200.00 - 265,600.00 per year

Search all similar jobs