Medicaid Pharmacy Business Analyst

Job Summary

Working remotely, the full-time Experienced Business Analyst - MMIS / Medicaid Pharmacy will support business execution across Medicaid domains by translating state and federal policy into system requirements and ensuring compliance with regulatory standards.

Key responsibilities

• Act as the primary domain subject matter expert, advising on business processes and regulatory impacts
• Lead requirements and design sessions, translating Medicaid policy into product features and documentation
• Support operational readiness activities and client engagement through communication and collaborative working sessions

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 and regulations
• Proficiency in SQL for data analysis and validation
• Experience with SDLC and Agile delivery environments