IT Healthcare Consultant -BA

Job#: 2086909

Job Description:
Business Analyst - Medicaid Enterprise System (MES) Modernization

Location: [Insert Location]

Employment Type: [Full-Time / Contract / Hybrid / Remote]

Program: Delivery of Automated Systems for Healthcare (DASH)
Overview:

Join a dynamic team driving a multi-year Medicaid Enterprise System (MES) Modernization initiative. This modular and incremental transformation effort aims to replace aging Medicaid Management Information Systems (MMIS) and related applications with scalable, configurable, and integrated solutions that support evolving federal and state requirements.

The DASH Program oversees project management for this modernization, and we are seeking a Business Analyst to support the program's strategic goals and ensure successful delivery of business and technical solutions.
Key Responsibilities:

• Serve as a liaison between business units and IT to translate business needs into technical solutions.
• Analyze current operations to identify automation opportunities and process improvements.
• Support business process redesign and documentation for new technologies.
• Translate high-level business requirements into detailed functional specifications.
• Facilitate communication between stakeholders from initial requirements through implementation.
• Lead business design sessions and cross-functional meetings to ensure integration across MES modules.
• Advocate for business integration and drive efficient data configuration.
• Monitor project deliverables to ensure alignment with operational principles.
• Provide regular updates on project status, risks, and issues.
• Mentor team members and promote high-quality solution delivery.
• Develop and maintain key performance indicators to track progress toward business integration goals.

Required Qualifications:

• 7+ years of experience in commercial healthcare.
• 6+ years of experience eliciting, analyzing, and documenting business rules and processes.
• Strong understanding of IT systems and capabilities.
• Proven ability to communicate effectively across all organizational levels.
• Exceptional attention to detail and organizational skills.

Preferred Qualifications:

• Experience with CMS Federal Certification requirements and processes.
• 3+ years of experience in State Medicaid system integration and delivery.
• Familiarity with Medicaid Information Technology Architecture (MITA) principles.
• Knowledge of standard data structures, EDI processes, and related file formats.
• Experience managing cross-functional projects and working with diverse teams.
• Background in MMIS operations or project delivery.
• Project management experience is a plus.

Work Environment:

• Professional office setting with a collaborative and diverse team.
• Opportunities to work with executive leadership and frontline staff.
• Fast-paced, mission-driven environment focused on healthcare transformation.

EEO Employer

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at or .

Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.

Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Apex team member can provide.