Business Analyst, Medicaid Enterprise System

Responsibilities

• Gather, analyze, and document business and functional requirements.
• Act as the liaison between business stakeholders and IT teams.
• Analyze existing business processes and recommend process improvements.
• Translate business requirements into functional specifications.
• Support Medicaid Enterprise System (MES) modernization initiatives.
• Lead business design workshops and cross-functional meetings.
• Assist with business process redesign and documentation.
• Coordinate priorities across multiple projects and stakeholders.
• Track project progress, risks, and key performance indicators (KPIs).
• Prepare status reports, documentation, and project deliverables.
• Mentor junior team members and support business integration activities.
• Ensure project deliverables align with business goals and operational objectives.

• 7+ years of Commercial Healthcare experience.
• 3+ years of State Medicaid Payer System Integration experience.
• 3+ years of experience with MITA (Medicaid Information Technology Architecture).
• 6+ years of experience with business processes, EDI, data structures, and file formats.
• 6+ years of experience working on cross-functional technology projects.
• Strong experience in business process analysis, requirements gathering, documentation, and stakeholder management.
• Excellent communication, analytical, and problem-solving skills.

Demonstrates extensive experience in business process analysis, requirements gathering, and stakeholder management within the healthcare sector, particularly in Medicaid systems. Proven ability to lead cross-functional projects and mentor team members while ensuring alignment with business goals.