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Medicaid Business Analyst
Medicaid Business AnalystAppworkshub • (Multiple States), US
Medicaid Business Analyst

Medicaid Business Analyst

Appworkshub • (Multiple States), US
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Job Title :

  • Senior Medicaid Business Analyst Location : 100% Remote Duration : Long Term Contract Job Description : We are seeking a highly skilled Senior Medicaid Business Analyst with strong experience in Healthcare, Medicaid programs, and MMIS.
  • The ideal candidate will support business process analysis, requirements gathering, documentation, and system enhancements within Medicaid operations.
  • This role requires excellent understanding of Medicaid claims processing, provider management, member eligibility, and regulatory compliance.

Responsibilities :

  • Analyze Medicaid / Healthcare business processes and provide recommendations for improvements
  • Work with stakeholders to gather, document, and validate business and technical requirements
  • Support MMIS functional enhancements and integrations
  • Perform gap analysis, impact assessments, and workflow documentation
  • Collaborate with technical teams to translate requirements into functional specifications
  • Support testing activities including UAT, test case creation, and validation
  • Ensure compliance with Medicaid regulations, CMS guidelines, and state policies
  • Prepare reports, presentations, and process documentation as needed Required Skills :
  • 7+ years as a Business Analyst in Medicaid or Healthcare domain
  • Strong knowledge of MMIS modules (Claims, Eligibility, Provider, Member, Finance, etc.)
  • Experience with Medicaid Claims Processing workflows
  • Strong analytical and problem-solving skills
  • Excellent communication and documentation abilities
  • Experience working with cross-functional teams and state-level Medicaid programs   Powered by JazzHR
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    Medicaid Analyst • (Multiple States), US

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