Job Description

Required Qualifications:

• 5+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems.
• 5+ years of experience serving as a technical analyst in healthcare (payor).
• 3+ years of experience working specifically with Medicaid programs, MMIS/MES or related systems.
• 3+ years of experience in knowledge management creating, organizing, sharing, and optimizing knowledge within an enterprise organization using tools such as Microsoft 365, AI-enabled search, MS SharePoint/Teams, and JIRA.
• Proven ability to lead communication (written and verbal) at the customer leadership level.
• Knowledge of health insurance, HMO, and managed care principles including Medicaid and Medicare regulation.
• Ability to interpret federal and state Medicaid policy and translate it into business and technical requirements.
• Effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision.
• Bachelor's degree in business, information systems, Public Health, or a related field

Preferred Qualifications:

• Master's Degree in related field is preferred.
• 5+ years of experience as a technical analyst in payor healthcare.
• 3+ years of experience writing SQL using large-scale database management tools.
• 3+ years of experience working with State Medicaid and CHIP agencies including federal reporting (CMS 64/21, TMSIS, PERM).

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