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mProgen

mProgen

via Dice

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Healthcare Business Analyst with Medicaid exp-Remote

Anywhere
contractor
Posted 10/17/2025
Verified Source
Key Skills:
Medicaid claim processing
Institutional and Physician claim forms
Prior Authorization
Member and Provider concepts
Long-Term Care
Inpatient/Outpatient
ALM
iTrace/rTrace
SDLC waterfall methodology
Documentation and training materials

Compensation

Salary Range

$70K - 90K a year

Responsibilities

Perform business analysis in Medicaid healthcare domain including claim processing, benefit plan configuration, and documentation.

Requirements

6+ years as Business Analyst in healthcare with Medicaid claim processing expertise and experience with project/change management tools and SDLC waterfall.

Full Description

What we're looking for • 6 or more years of experience in a relevant Business Analyst position with experience in Health Care/Health Insurance • Strong background in Medicaid, specifically claim processing using Institutional and Physician claim forms. • Knowledge of Prior Authorization, Member, Provider, Long-Term Care, Inpatient/Outpatient concepts. • Experience working with project and change management tools such as ALM, iTrace/rTrace. • Software Development Life Cycle (SDLC) experience; waterfall methodology • Experience creating deliverable documentation, user manuals, and training documentation. • Experience with implementing benefit plan configuration updates in Medicaid Management Information System (MMIS).

This job posting was last updated on 10/20/2025

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