Senior Pega Business Analyst - Medicaid​/Healthcare

Please focus on candidates who possess both Pega and Medicaid/Healthcare experience, as both skill sets are mandatory for this role.
Skill/Criteria
Years of experience
Rating out of 5PEGA Business Architect / Technical Functional Analyst Requirements & Stakeholder Management Hands-on PEGA Technical KnowledgePEGA App StudioPEGA Case ManagementPEGA Workflows & Business ProcessesPEGA Decision RulesPEGA Routing & AssignmentsPEGA Integrations & Interfaces Production Support & TroubleshootingPEGA PBA Certification Eligibility & Enrolment Domain Healthcare Domain
Key Requirements

• 15+ years of Technical Functional Analyst or Business Systems Analyst experience.
• Mandatory Healthcare OR Eligiblity & Enrollment domain expertise, including:
  • Eligibility Determination
  • Enrollment Lifecycle Management
  • Renewals and Redeterminations
  • Case Management
  • Notices and Correspondence
  • Stacking and Benefit Determination
• Mandatory Pega expertise, including:
  • Pega Case Management
  • Workflows and Business Processes
  • Decision Rules
  • Routing and Assignments
  • Integrations and Interfaces
  • Production Support and Troubleshooting
• Experience supporting large-scale systems.
• Strong experience working with Pega Architects, Developers, System Integrators, and State Agency stakeholders.
• Experience with UAT, SIT, defect triage, root cause analysis, and production stabilization.
• Strong SQL and Power BI skills preferred.
• Pega certifications (PBA/CSA) are highly preferred.