Sr Business analyst with healthcare claims(SME) MMIS

Remote • Posted 2 hours ago • Updated 2 hours ago
Full Time
Remote
$60,000 - $100,000/yr
Fitment

Dice Job Match Score™

🧠 Analyzing your skills...

Job Details

Skills

  • Agile
  • Business Analysis
  • Health Care
  • HL7
  • HIPAA
  • Facets
  • MMIS
  • Medicaid
  • QNXT
  • User Stories
  • Management
  • Process Analysis
  • MES

Summary

1. Role: Senior Business Analyst Medicaid/MMIS SME (D04)

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

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: 10199915
  • Position Id: 9022331
  • Posted 2 hours ago
Contact the job poster
DD

Dibyani Das

Senior Technical Recruiter @ Infinite Computer Solutions (ICS)
Create job alert
Set job alertNever miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Remote

2d ago

Easy Apply

Full-time

Depends on Experience

Remote

11d ago

Easy Apply

Full-time

$60,000 - $80,000

Remote

22d ago

Easy Apply

Full-time

$60,000 - $80,000

Remote

7d ago

Easy Apply

Contract

Depends on Experience

Search all similar jobs