Senior Business Analyst – MMIS Claims Processing
Listed on 2026-09-01
-
Business
Business Analyst, Business Systems & Technology Analysis
Senior Business Analyst – MMIS Claims Processing
Location:
Remote – U.S.
About Us
Known for “Delighting the Client” through performance, innovation, and an employee‑centric culture, S2
Tech is a fast‑growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services‑related projects. Feel free to learn more at
Tech?
- Stable, privately‑owned company with a strong reputation for building long‑term client relationships through the delivery of consistent value‑based service
- 25+ years providing IT and Business services to private customers and government programs throughout the United States
- Expansive client portfolio and active projects – employees benefit from innovative project exposure and in‑house skill development training/courses
- Corporate culture that emphasizes the importance of family and promotes a healthy work‑life balance
- Offer competitive pay and a range of benefits, including:
- Medical / Dental / Vision Insurance – insurance premium assistance provided
- Paid Time Off
- 401(k) Retirement Savings Plan & Health Savings Account
- Various training courses to promote continuous learning
- Corporate Wellness Program
- Be part of a company that gives back through its non‑profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural/urban divide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities, allowing them to link their professional & educational goals
We are seeking experienced Senior Business Analysts to support a Modernization program, with an initial focus on the Claims Processing Module. This is a high‑visibility modernization initiative focused on transforming a legacy MMIS environment into a modular, enterprise‑based architecture supporting improved healthcare delivery, payment integrity, operational efficiency, and interoperability. This role is heavily focused on business analysis, stakeholder facilitation, and requirements leadership within one of the most complex functional areas of Medicaid—Claims Processing.
Candidates must possess deep MMIS claims expertise, executive presence, and the ability to independently lead business discussions with state stakeholders, business teams, vendors, and technical teams. The ideal candidate will demonstrate a forward‑thinking mindset and the ability to leverage AI‑assisted analysis techniques to improve the quality, consistency, and efficiency of business analysis deliverables.
- Business Analysis & Requirements Leadership
- Lead requirements gathering, analysis, documentation, and validation activities for MMIS modernization initiatives with a primary focus on Claims Processing
- Facilitate Joint Application Design (JAD) sessions and working sessions with state stakeholders, business teams, technical teams, and vendors
- Translate complex business needs into clear, structured, and testable business requirements using established business analysis methodologies
- Track requirements from initial scope definition through refinement, validation, implementation, and testing support
- Conduct current‑state versus future‑state gap analysis and recommend modernization approaches aligned with Commonwealth objectives
- Ensure requirements traceability throughout the Software Development Life Cycle (SDLC)
- Support defect triage, operational impact analysis, issue resolution, and change management activities
- Partner closely with development and QA teams to ensure business intent is accurately implemented
- Lead analysis activities supporting modernization of the MMIS Claims Processing solution, including:
- Claims intake and submission workflows
- Claims editing and validation
- Claims adjudication and pricing
- Payment processing and financial disposition
- Denials, suspensions, adjustments, and voids
- Coordination of Benefits (COB)
- Third Party Liability (TPL)
- Managed Care encounter processing
- Provider reimbursement methodologies
- Claims lifecycle reporting and operational monitoring
- An…
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).