About this role
Subject Matter Expert
Job description: • Role: Senior Business Analyst – Medicaid/MMIS SME (D04)
Key Responsibilities • Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules • Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories) • Translate complex business needs into clear functional and technical requirements • Collaborate with stakeholders, product owners, and development teams • Ensure compliance with CMS guidelines, HIPAA, and state Medicaid regulations • Support defect management, and production support • Identify process improvements and support system modernization initiatives • Mentor business analysts and contribute to Agile delivery
Requirements • 7–12 years of experience in Medicaid domain, with strong MMIS experience • Deep understanding of claims processing, eligibility, and provider management systems • Proven experience in business analysis, stakeholder engagement, and documentation • Hands-on experience with Agile/Scrum methodologies • Strong analytical, communication, and problem-solving skills Preferred Qualifications • Experience with MMIS platforms (Facets, QNXT, MES, etc.) • Knowledge of HL7/FHIR and healthcare data exchange standards • Experience working with state Medicaid agencies or healthcare payers