Job Requirements
-
5+ years of Business Analysis experience supporting MMIS, Medicaid claims, prior authorization, and referral systems
-
Proficiency in Medicaid claims processing, Prior Authorization (PA), PAS, referrals, and reimbursement workflows
-
Experience in SQL, data analysis, data validation, and reporting activities
-
Experience with MMIS platforms, HIPAA transactions, healthcare system integrations, and compliance requirements
-
Experience in SDLC, Agile projects, requirements gathering, testing, gap analysis, and release support
-
Strong communication skills with stakeholders, vendors, technical teams, and business users
Job Responsibilities
-
Lead requirements workshops, business analysis activities, and stakeholder design sessions
-
Coordinate business requirements, functional specifications, and validation efforts across projects
-
Experience in test strategy development, test case creation, execution, and signoff processes
-
Experience with release stabilization, defect resolution tracking, and production support activities
-
Experience in data analysis, system validation, vendor coordination, and change management support
-
Communicate project updates, training materials, documentation changes, and business impacts
Founded in 1999, Resourcesoft, Inc. is a leading Technology Consulting and Professional Services organization. Headquartered in Marlborough, MA, the company serves the technology needs of its clients nationwide. Resourcesoft has often been recognized by prominent rating agencies for its exemplary growth and stability. With over two decades of industry experience, the Company has evolved as a front runner in enabling project optimization. We partner with leading organizations to provide technology solutions within the financial, insurance, education, government, publishing, healthcare and pharmaceutical domains. We take pride in mentoring a workforce that is well positioned to respond to the emerging IT trends and needs. With the employees at the crux of every business endeavor, our success is driven by our expertise in pairing the right talent with the best jobs in the technology sector. We forge long term, personalized relationships with our employees to advance their career to the next level. We engage them in technology centric client projects that provide opportunities for them to evolve, innovate and deliver world class products and services. Our career opportunities offer challenging assignments and exposure to emerging and cutting edge technologies. We are committed to providing our employees with the tools necessary to accelerate their career progression, while maintaining a healthy, work-life balance. We are deeply committed to providing a workplace ambience that is both challenging and fulfilling.
Resourcesoft is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
For more information about Resourcesoft and our services, please visit our website.
 copy.jpg?format=webp)
