Senior Business Analyst - Medicaid

Job Summary

To support the Medicaid Pharmacy environment, the fully remote Senior Business Analyst - Medicaid will manage business, policy, and technical execution across MMIS domains, translating state and federal Medicaid policy into product features and system configurations.

Key responsibilities

• Ensure compliance alignment by validating solution design and configuration against CMS guidance and state policy
• Lead collaborative requirements and design sessions with clients and internal teams to validate functional and technical needs
• Support operational readiness activities, including environment, data, process, and staffing readiness for successful implementation

Required qualifications

• Bachelor's degree in Computer Science, Information Systems, Health Informatics, or a related field
• 5 to 8 years of hands-on experience supporting healthcare system implementations, including MMIS solutions and Medicaid Pharmacy platforms
• Strong knowledge of state and federal Medicaid policy, regulations, and program rules
• Demonstrated experience translating policy and program rules into system requirements and design artifacts
• Strong knowledge of SQL for data analysis and validation