Senior Business Analyst – Medicaid Pharmacy Claims, MMIS

Business AnalystBusiness AnalystFull TimeRemoteSeniorTeam 10,001+Since 2017H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

8 days ago

Salary

$71.0K - $92.2K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglishAzureSDLCSQL

Job Description

Senior Business Analyst – Medicaid Pharmacy Claims, MMIS

Conduent

• Lead requirements gathering, analysis, documentation, and validation for Medicaid pharmacy claims, MMIS processing, eligibility, prior authorization, and related workflows. • Facilitate discussions with business, vendor, and technical teams to define requirements, resolve issues, and align on scope and priorities. • Translate business, policy, and regulatory needs into clear requirements, user stories, process flows, business rules, and acceptance criteria. • Analyze current and future-state processes to identify gaps, risks, dependencies, and improvement opportunities. • Maintain key project artifacts such as traceability matrices, workflow documentation, interface mappings, and decision logs. • Partner with testing teams to develop test scenarios, support SIT and UAT, manage defects, and validate business outcomes. • Support implementation, change requests, issue resolution, and production support activities. • Mentor junior analysts and promote consistent analysis, documentation, and collaboration practices.

Job Requirements

  • Bachelor’s degree in Business, Information Systems, Healthcare Administration, Public Administration, or a related field; equivalent experience may be considered.
  • 5+ years of experience as a Business Analyst or Systems Analyst supporting complex healthcare or public-sector systems.
  • 3+ years of experience with Medicaid claims processing, MMIS/MES platforms, or Medicaid pharmacy operations.
  • Strong experience documenting business and functional requirements, process flows, user stories, use cases, and acceptance criteria.
  • Experience with requirements traceability, change control, and support across the project lifecycle.
  • Hands-on experience with test planning, test case development, SIT, UAT, defect management, and validation of business outcomes.
  • Experience working in Agile and/or hybrid SDLC environments with cross-functional teams.
  • Strong facilitation, communication, analytical, and documentation skills.
  • Proficiency with tools such as Azure DevOps, Jira, SharePoint, Microsoft Office, Visio, and SQL.

Benefits

  • Health and Welfare Benefits: tailored to fit you and your family's needs starting on the first day of employment.
  • Retirement Savings: support to save for your future.
  • Employee Discounts: access to a vast selection of discounts on merchandise, services, travel, and more.
  • Career Growth Opportunities: opportunities to advance your career with a vast portfolio of businesses and a global footprint.
  • Paid Training: earn while you learn with access to award-winning learning platforms.
  • Paid time off: attractive paid time off packages to enjoy life away from work.
  • Great Work Environment: award-winning culture with recognition for diversity efforts.

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