Business Analyst Medicaid Claims Processing

Business Analyst – Medicaid Claims Processing

Location: Austin, TX (Hybrid – 2 days onsite: Monday & Tuesday; 3 days remote)

Duration: Multi-Year Contract

Start Date: July 1, 2026

Position Overview

We are seeking an experienced Business Analyst with a strong background in Medicaid Claims Processing to support a long-term project in Austin, Texas. The ideal candidate will possess excellent analytical, documentation, stakeholder management, and requirements-gathering skills, along with experience working in Agile environments and collaborating with both technical and business teams.

Required Experience (Minimum 5 Years in Each Area)

• Medicaid Claims Processing
• Business analysis, process improvement, and solution recommendations
• Gathering, reviewing, analyzing, and documenting business and system requirements
• Evaluating operational procedures and identifying opportunities for improvement
• Creating business requirements, use cases, process flows, and functional specifications
• Cost-benefit analysis and evaluation of alternative system solutions
• Input/output analysis, reporting requirements, and data summarization processes
• Azure Dev Ops and wireframe creation
• Data integrity, security standards, policies, and procedures
• Agile/Scrum methodologies

Required Skills

• Strong analytical and problem-solving abilities
• Excellent verbal and written communication skills
• Strong stakeholder management and interpersonal skills
• Understanding of application architecture, infrastructure, and enterprise systems
• Knowledge of IT industry trends, emerging technologies, and best practices

Preferred Experience

• Texas DIR Project Delivery Framework (PDF)
• DIR documentation standards and templates
• Information architecture and information management methodologies
• Enterprise software architecture and infrastructure environments

Key Responsibilities

• Gather, analyze, and document business requirements, use cases, process flows, and acceptance criteria
• Evaluate existing business processes and assess the impact of proposed changes
• Serve as a liaison between business stakeholders and technical teams throughout the SDLC
• Assist with project documentation, user guides, and online help content
• Develop and execute test scripts and support defect resolution activities
• Provide project status updates, issue tracking, and stakeholder communications
• Facilitate knowledge transfer sessions and support system architecture reviews
• Ensure solutions comply with HHSC and DIR standards and guidelines

Note: Local Austin-area candidates with strong Medicaid Claims Processing experience will receive priority consideration.