Medicaid Business Analyst

Job Summary

To support Medicaid Management Information Systems (MMIS) and Pharmacy operations, the full-time remote Experienced Provider+ Business Analyst will translate state and federal Medicaid policy into product features and system configurations while collaborating with cross-functional teams as a subject matter expert.

Key responsibilities

• Act as the primary domain subject matter expert, advising on business processes and regulatory impacts
• Lead collaborative requirements and design sessions, ensuring compliance with Medicaid policies and business rules
• Support operational readiness activities and client engagement through documentation, demos, and issue resolution

Required qualifications

• Bachelor's degree in Computer Science, Information Systems, Health Informatics, or a related field
• 5 to 8 years of experience in healthcare system implementations, particularly with MMIS and Medicaid Pharmacy platforms
• Strong knowledge of state and federal Medicaid policy, regulations, and program rules
• Proficiency in SQL for data analysis and validation
• Experience in SDLC and Agile delivery environments