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Appworkshub

via Jazzhr

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Medicaid Business Analyst

Anywhere
Full-time
Posted 12/1/2025
Direct Apply
Key Skills:
Medicaid Business Analysis
MMIS Modules
Medicaid Claims Processing
Requirements Gathering
Business Process Analysis
Regulatory Compliance
UAT Testing
Stakeholder Communication

Compensation

Salary Range

$90K - 130K a year

Responsibilities

Analyze Medicaid business processes, gather and document requirements, support MMIS enhancements, and ensure regulatory compliance.

Requirements

7+ years Medicaid/Healthcare Business Analyst experience with strong MMIS knowledge and Medicaid claims processing expertise.

Full Description

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

This job posting was last updated on 12/4/2025

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