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Business Analyst – PA MMIS Prior Authorizations

InfiCare

Hybrid in Quincy, Massachusetts • 7d ago

Easy Apply

Contract, Third Party

Depends on Experience

Business Analyst

Techgene Solutions LLC

Quincy, Massachusetts • Today

Easy Apply

Full-time, Contract

$DOE

Business Analyst

Apex Systems

Quincy, Massachusetts • Today

Easy Apply

Full-time

$60 - $65 per hour

Business Analyst

Della Infotech

Hybrid in Boston, Massachusetts • Today

Easy Apply

Full-time

$60 - $70

Business Analyst

Robert Half

Woburn, Massachusetts • Today

Easy Apply

Contract

USD 47.50 - 55.00 per hour

Business Analyst Intermediate (3-6 years)

BCforward

Boston, Massachusetts • Today

Easy Apply

Contract

$42 - $44 per hour

Business Analyst

CitiusTech

Remote • Yesterday

Easy Apply

Full-time

$90,000 - $100,000

Salesforce Business Analyst (Onsite Woburn, MA)

Dexian DISYS

Hybrid in Woburn, Massachusetts • Today

Easy Apply

Full-time, Third Party, Contract

$55 - $65 per hour

Business Analyst – Reinsurance

Pacific Consultancy Services

Remote • 6d ago

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Third Party, Contract

Depends on Experience

Business Analyst

Medinext Global LLC

Remote • 7d ago

Easy Apply

Full-time

80,000 - 120,000

Business Analyst

Tekcel8

Remote • Today

Easy Apply

Contract

Depends on Experience

Business Analyst

Skillify Solutions

Remote • Today

Easy Apply

Full-time

Depends on Experience

Business Analyst

Kforce Technology Staffing

Remote or Detroit, Michigan • Today

Contract

$35 - $38 hourly

Business Analyst

Kforce Technology Staffing

Remote or New York, New York • Today

Contract

$40 - $65 hourly

Business Analyst

Eliassen Group

Remote • Today

Contract

Business Analyst

Eliassen Group

Remote • Today

Contract

Senior Interface Analyst

InfiCare

Hybrid in Quincy, Massachusetts • 4d ago

Easy Apply

Third Party, Contract

Depends on Experience

Entry Level Business Analyst

Ellianse LLC

Remote • 14d ago

Easy Apply

Full-time

30 - 33

Senior Business Analyst

IMR Soft LLC

Remote • 5d ago

Easy Apply

Third Party, Contract

$45 - $50

Business Analyst / Project Manager (BA/PM)

SRI Tech Solutions

Remote • Yesterday

Easy Apply

Full-time

68 - 70

IAM Business Analyst

Momento USA LLC

Remote • Today

Easy Apply

Contract, Third Party

Depends on Experience

BA – ALIP

Nityo Infotech Corporation

Remote • Today

Easy Apply

Contract

Depends on Experience

BUSINESS ANALYST

AaraTechnologies Inc

Remote or Hybrid in Kansas City, Missouri • 6d ago

Easy Apply

Contract

$65,000 - $75,000

BUSINESS ANALYST

AaraTechnologies Inc

Remote or Hybrid in Texas City, Texas • 8d ago

Easy Apply

Contract

$65,000 - $75,000

BUSINESS ANALYST

AaraTechnologies Inc

Remote or Hybrid in Maryland City, Maryland • 4d ago

Easy Apply

Contract

$65,000 - $75,000

BUSINESS ANALYST

AaraTechnologies Inc

Remote or Hybrid in Virginia Beach, Virginia • 7d ago

Easy Apply

Contract

$65,000 - $75,000

BUSINESS ANALYST

AaraTechnologies Inc

Remote or Hybrid in Delaware Water Gap, Pennsylvania • 5d ago

Easy Apply

Contract

$65,000 - $75,000

Healthcare Business Analyst With HL7/FHIR

Magicforce

Remote • Yesterday

Easy Apply

Third Party, Contract

Depends on Experience

100% Remote Senior Business Analyst with Strong PBM / Health Plan

DMS Vision Inc.

Remote • 29d ago

Easy Apply

Contract, Third Party

Depends on Experience

Looking for Scrum Master / Salesforce Business Analyst (BA/Admin) Remote Role

Xoriant Corporation

Remote • Today

Easy Apply

Contract

Depends on Experience

Job Details

Skills

BUSINESS ANALYST
BA
MMIS
MEDICAID MANAGEMENT INFORMATION SYSTEM
PRIOR AUTHORIZATION
PA
MEDICAID

Summary

Job Title: Business Analyst – Prior Authorizations (PA) / MMIS

Location: Quincy, MA 02171 (Hybrid)

Job Type: Contract

Job Overview

Our client is seeking an experienced Business Analyst with Prior Authorization (PA) and Medicaid Management Information System (MMIS) expertise. The BA will join a collaborative MMIS team supporting Provider Reimbursement and Claims processing functional areas, including development, testing, and implementation.

Key Responsibilities

Develop test strategies, test scenarios, and test cases based on written requirements
Execute and review test runs; sign off on testing components
Document requirements and support their development and testing
Develop end-user training materials and documentation
Provide oversight during stabilization phases, including monitoring system change execution
Work with vendors to ensure business requirements are fully defined and tested
Communicate updates and changes to impacted stakeholders
Support program staff and external stakeholders with MMIS-related questions
Perform data querying and analysis

Required Skills

Business Analysis supporting all stages of the system project lifecycle
MMIS knowledge — Claims Processing, Prior Authorization (PA), PAS, and Referrals
HIPAA claims and payment transaction processing competency
Strong SQL and data analysis skills
Excellent written and verbal communication and documentation skills
Ability to work independently and within cross-functional project teams
Strong interpersonal skills for interaction with PMs, developers, QA analysts, and business users

Preferred Skills

Medicaid systems experience and MassHealth program knowledge
SDLC and Agile methodology familiarity
Knowledge of Interoperability and X.12 emerging standards.

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: 10113809
Position Id: 113665-1090-1791925187
Posted 7 days ago

Fitment

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Similar Jobs

Business Analyst

Quincy, Massachusetts

•

Today

Position: Business Analyst Primary work location: Quincy, MA Duration: 10+ month Position Summary We are seeking an experienced Business Analyst to support a healthcare technology team responsible for claims processing, provider reimbursement, and member-focused initiatives within a large-scale Medicaid Management Information System (MMIS) environment. This individual will participate in all phases of the system development lifecycle, including requirements gathering, analysis, testing, imple

Easy Apply

Full-time, Contract

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Business Analyst

Quincy, Massachusetts

•

Today

Job#: 3055863 Job Description: Apex Systems is a world class technology services business that incorporates industry or insights and experience to deliver solutions that fulfill our clients' digital visions. Apex has an opportunity for an Business Analyst. For applicants who are interested in this opportunity, send your updated resume to Gabriel Ortega, Account Manager, at . Here are the details: Position: Business Analyst Client: Commonwealth of MA (EHS) Location: Quincy, MA (Hybrid) Dura

Easy Apply

Full-time

$60 - $65 per hour

Business Analyst || Quincy MA || Hybrid || Long Term

Hybrid in Quincy, Massachusetts

•

Today

We at NJ TECH INC are focused on hiring highly skilled professionals who are excited by the opportunity to make a true impact on their careers as well as on our clients' business. We power our clients success - and drive our consultants career growth. We are seeking an experienced and outstanding Business Analyst for one of our esteemed clients. Role: Business Analyst Location: Quincy, MA (Hybrid) (Locals from MA, NH & RI) Duration: Long Term DETAILED LIST OF JOB DUTIES AND RESPONSIBLITIES: Le

Easy Apply

Third Party, Contract

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Senior Interface Analyst

Hybrid in Quincy, Massachusetts

•

4d ago

Job Title: Senior Interface Analyst Location:Quincy, MA 02171 (Hybrid) Job Type: Contract Job Overview The Senior Interface Analyst supports a large state government Medicaid Management Information System (MMIS) program. The analyst manages end-to-end interface operations from requirements gathering and specification design through implementation, testing, and post-go-live stabilization. The role involves deep engagement with both business and technical stakeholders on healthcare int

Easy Apply

Third Party, Contract

Depends on Experience

Job Details

Skills

BUSINESS ANALYST
BA
MMIS
MEDICAID MANAGEMENT INFORMATION SYSTEM
PRIOR AUTHORIZATION
PA
MEDICAID

Summary

Job Title: Business Analyst – Prior Authorizations (PA) / MMIS

Location: Quincy, MA 02171 (Hybrid)

Job Type: Contract

Job Overview

Key Responsibilities

Develop test strategies, test scenarios, and test cases based on written requirements
Execute and review test runs; sign off on testing components
Document requirements and support their development and testing
Develop end-user training materials and documentation
Provide oversight during stabilization phases, including monitoring system change execution
Work with vendors to ensure business requirements are fully defined and tested
Communicate updates and changes to impacted stakeholders
Support program staff and external stakeholders with MMIS-related questions
Perform data querying and analysis

Required Skills

Business Analysis supporting all stages of the system project lifecycle
MMIS knowledge — Claims Processing, Prior Authorization (PA), PAS, and Referrals
HIPAA claims and payment transaction processing competency
Strong SQL and data analysis skills
Excellent written and verbal communication and documentation skills
Ability to work independently and within cross-functional project teams
Strong interpersonal skills for interaction with PMs, developers, QA analysts, and business users

Preferred Skills

Medicaid systems experience and MassHealth program knowledge
SDLC and Agile methodology familiarity
Knowledge of Interoperability and X.12 emerging standards.

Dice Id: 10113809
Position Id: 113665-1090-1791925187
Posted 7 days ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Business Analyst

Quincy, Massachusetts

•

Today

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Full-time, Contract

$DOE

Business Analyst

Quincy, Massachusetts

•

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Business Analyst || Quincy MA || Hybrid || Long Term

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Senior Interface Analyst

Hybrid in Quincy, Massachusetts

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4d ago

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