Medicaid Systems Analyst; Eligibility​/Interfaces​/Business Rules

Stealth Talent Solutions is partnering with a leading consulting firm on the New York State Department of Health’s Medicaid modernization program, one of the largest Medicaid transformations in the country. The engagement is funded through mid-2029, with additional phases expected after that.

We’re building a bench of hands-on Medicaid systems talent for specific roles that open throughout the year.

This is not a management role. The team is looking for the people who actually built the systems: the analyst who wrote the eligibility rules, the developer who built the interface that sends enrollment data to the MMIS, the person who knows how notices get generated.

• Eligibility and enrollment: core eligibility engine logic, MAGI / Non-MAGI rules, renewals
• Interfaces: designing, specifying or building data exchanges between eligibility systems, the MMIS and external partners
• Business rules: documenting, configuring or validating rules, including long-term care and managed care enrollment
• Notices: requirements, templates and generation logic for member notices
• Data: mapping, conversion and validation across legacy and modernized systems

• 5+ years hands‑on on Medicaid or MMIS systems in a BA, systems analyst, developer or technical analyst role
• Direct experience building, configuring or specifying eligibility, enrollment, interfaces, notices or business rules
• Experience with eMedNY, NY State of Health (NYSOH), WMS or other New York State systems is a strong plus
• Experience with other state Medicaid or integrated eligibility systems is welcome
• X12 EDI (834, 270/271, 837), SQL or data mapping experience is a plus
• Based in the Albany area, or able to be onsite Tuesday to Thursday

• Long-term work on a high-profile, multi-year program
• Roles open regularly, so we can match you to the right fit, not just the first opening