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Business Analyst – PA MMIS Prior Authorizations

InfiCare

Hybrid in Quincy, Massachusetts • Today

Easy Apply

Third Party, Contract

Depends on Experience

Healthcare Medicaid Business Analyst(Medicaid/MMIS Domain)

Infinite Computer Solutions (ICS)

Remote • 22d ago

Easy Apply

Full-time

$70,000 - $95,000

MMIS Enterprise Architect

Spar Information Systems

Remote • Today

Easy Apply

Full-time, Part-time, Contract, Third Party

PBM BUSINESS ANALYST

Crea Services LLC

Remote • 4d ago

Easy Apply

Third Party, Contract

Depends on Experience

Pharmacist (Prior Authorization/PBM)

Hicks Professional Group

Remote • 20d ago

Easy Apply

Contract

Depends on Experience

Business Analyst- Medicaid

CSG

Remote • 21d ago

Easy Apply

Full-time

Depends on Experience

Business Analyst- Integrated Eligibility

CSG

Remote • 21d ago

Easy Apply

Full-time

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 6 hours ago

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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 Senior Interface Data Analyst one of our esteemed clients. Role: Senior Interface Data Analyst Location: Quincy, MA (Hybrid) Duration: Long Term Duties and Responsibilities: Collaborate with business te

Easy Apply

Contract, Third Party

$0 - $0

Quality Engineer (Tester)

Boston, Massachusetts

•

6d ago

Quality Engineer (Tester)Introduction:As a Quality Engineer (Tester) in Boston, MA, you will play a crucial role in ensuring solution quality by executing manual tests against defined requirements, user stories, and expected behavior. You will collaborate with delivery teams to ensure reliable, user-ready releases and provide advanced guidance on testing strategies. Responsibilities:Design test cases and execute manual testsIdentify and document defectsCollaborate with delivery teamsProvide guid

Easy Apply

Contract, Third Party

Depends on Experience

Senior Test Engineer

Massachusetts

•

Today

Position Summary Odyssey Systems has an exciting opportunity for a Senior Test Engineer providing support to the Air Force Life Cycle Management Center Aerial Networks Division (AFLCMC/HNA). Responsibilities Duties include, but not limited to: Develop and document the program's overarching Test and Evaluation (T&E) Strategy.Lead government oversight activities within an integrated test team environment.Document test concept development, test methodologies, test plans, test execution, test rep

Full-time

USD 140,000.00 - 150,000.00 per year

Business Analyst

Merrimack, New Hampshire

•

Today

job summary: Collaborates on the development, execution, and transition of interim needs Performs root cause analysis when issues arise before and after code migrations Performs data/client validations and remediations for Annual Enrollment and Ongoing Projects Crafts training and reference materials for participant services Participates in Procedure Improvement Initiatives Assist with training, mentoring, and coaching new associates Performs Quality Assurance Validation checks on Annual

Contract

USD32 - USD33