Business Systems Analyst IV - Medicaid Fee-For-Service

Exemption Status:
United States of America (Exempt) $95,717 - $132,808 - $169,898 – Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.

This position is not eligible for Sponsorship.

The Business Systems Analyst IV is a subject matter expert and liaison between end users/clients and Information Technology. This role is responsible for interpreting advanced business and regulatory requirements—particularly within Medicaid Fee‑For‑Service (FFS) environments—while evaluating complex systems and user needs to design effective, compliant solutions. The Business Systems Analyst IV drives the development of detailed requirements, translates business needs into functional specifications, and guides cross‑functional teams through large‑scale system enhancements and initiatives.

Operating with minimal direction, this position ensures alignment with organizational strategy, supports system accuracy and operational readiness, and provides expert consultation to internal and external partners.

• Interviews end‑users/customers to define business requirements for complex software modifications and enhancements.
• Meets with external clients to discuss enhancement requests as needed.
• Translates business requirements by reviewing, analyzing, and evaluating needs into functional specifications.
• Coordinates and responds to requests for changes from original specifications.
• Facilitates design sessions with the business and technical resources to ensure that the solutions meet the needs of the business.
• Consults with technical teams on design and database issues.
• Defines and documents requirements business rules to assist in the development of software specifications to include system requirements, flow charts, report mock‑ups, and business rules.
• Drives and/or leads projects to completion for assigned projects.
• Develops project plans, prioritizes project tasks, and provides regular status updates on project progress to management and stakeholders.
• Develops business processes that ensure developed application meets all project requirements.
• Ensures that projects are completed on time, accurate to defined specifications and within budget.
• Performs quality control checks on software before it is released to the QA department.
• Provides support to software development and QA staff as needed.
• Handles, prioritizes and manages multiple Service Requests (SRs) throughout the entire software development life cycle.
• Handles software release management of designated applications.
• May mentor and provide functional work direction to less experienced Business Systems Analysts.

• Manage difficult or emotional client situations.
• Respond promptly to client needs.
• Solicit client feedback to improve service.
• Respond to requests for service and assistance from clients.
• Meet commitments to clients.

• BS/BA degree and 6+ years of experience or an equivalent combination.
• 2 years of subject‑matter expertise in the respective areas.

• Visio, Microsoft Office (Outlook, Word, Excel, PowerPoint).
• Oracle database and Oracle SQL; OLTP.
• Familiar with relational databases and client‑server concepts.

• Certified Business Analysis Professional (preferred).

• Working knowledge of the software development life‑cycle (SDLC).
• Good understanding of supported Med Impact products and services from a business and technical perspective.
• Experience with both Agile and Waterfall methodologies.
• Good project planning skills (creation and definition).
• Negotiation skills.
• Business requirements gathering and elicitation techniques.
• Use case modeling, solutions requirements activity, and swim‑lane diagrams.
• Conflict management skills.
• Leading and facilitating meetings.
• Interviewing skills to…