Senior Manager, Business Analysis – Medicare​/Medicaid

• Lead business-side delivery of complex technical and operational initiatives from scoping through implementation and stabilization

• Translate strategic business priorities into requirements, process needs, delivery plans, and recommendations

• Serve as primary business liaison across stakeholders, enterprise IT teams, and external vendor partners

• Manage business production support, including issue triage, defect tracking, root cause analysis, and resolution follow-through

• Monitor recurring system and process issues and recommend performance and reliability improvements

• Build and maintain business process flows, operating frameworks, and executive-ready materials

• Facilitate cross-functional collaboration to ensure timely delivery, business alignment, and stakeholder adoption

• Communicate project status, risks, dependencies, tradeoffs, and recommendations to technical and non-technical audiences

• Ensure solutions align with business priorities, compliance expectations, and operational requirements in a regulated Medicare environment

• Manage timelines, risks, open issues, and execution barriers

• Investigate complex issues and drive practical resolution

• Minimum 5-8 years of experience supporting Medicare Advantage, Special Needs Plans, Medicaid, or adjacent healthcare programs
• Strong understanding of business operations and cross-functional delivery needs
• Demonstrated success leading cross-functional initiatives involving business stakeholders, enterprise systems, and technology partners
• Strong experience translating business needs into structured requirements, implementation plans, and operationally viable solutions
• Proven ability to influence across teams, manage ambiguity, and drive progress without direct authority
• Strong analytical, problem-solving, and root cause analysis skills
• Experience supporting defect management and production issue resolution
• Strong written and verbal communication skills
• Experience tailoring updates for leadership, operational teams, and technical partners
• Experience with business process improvement, operational transformation, and stakeholder alignment
• Experience supporting C-SNP, Condition Verification, or other population-specific operational programs
• Familiarity with vendor-supported platforms and business-owned technology implementations
• Experience developing process documentation, business workflows, and executive presentation materials

Demonstrates expertise in leading complex technical and operational initiatives within a regulated Medicare environment, translating business priorities into actionable requirements and fostering cross-functional collaboration. Proficient in managing production support, defect resolution, and process improvement while effectively communicating with diverse stakeholders.

• Medicare Advantage Experience
• Cross-Functional Initiative Leadership
• Business Process Improvement
• Root Cause Analysis
• Stakeholder Communication

• Business Requirements Translation
• Operational Transformation
• Defect Management
• Process Documentation
• Analytical Problem-Solving

• Influencing Without Authority
• Collaboration
• Communication Skills

• Medicaid
• C-SNP
• Condition Verification
• Healthcare Programs
• Regulated Environment

• Vendor-Supported Platforms
• Business-Owned Technology Implementations