📌 Role: Business Analyst
👥 Openings: 2
💼 Experience: 12+ Years
⏳ Duration: 6 Months
📍 Location: Onshore
💼 Engagement: Contract / Contract-to-Hire
✈️ Travel: 25% mandatory travel to Albuquerque, NM
🔹 Must-Have Skills
12+ years of Business Analysis experience
Strong Medicaid / MMIS / MES experience
Experience in at least two of Claims, Member/Eligibility, and Finance
CMdS / Conduent Medicaid Suite or comparable Medicaid platform experience
Strong Medicaid Claims & Claims Adjudication knowledge
Eligibility, enrollment, aid categories, benefit packages, MCO/FFS
Medicaid financial processes, payment cycles, fund splits, COS and FFP
MMIS modernization / legacy system replacement
BRDs, FRDs, user stories, acceptance criteria, process flows and data mapping
Experience working with Development and QA
SIT, UAT and parallel testing
Knowledge of CMS MES requirements and certification
Agile/Hybrid SDLC experience
🔹 Key Responsibilities
Own requirements and functional design for Claims, Member, Finance and related interfaces.
Translate legacy MMIS rules and Medicaid policy into functional requirements.
Define epics, user stories, acceptance criteria and Definition of Done.
Facilitate business and technical workshops.
Partner with Development, QA, Architecture and business stakeholders.
Maintain requirements traceability, risks, dependencies and decisions.
Support SIT, UAT, regression and parallel/run-compare activities.
⭐ Preferred
Hands-on CMdS configuration/implementation
HIPAA X12 837/835
COBA/Crossover
EVV-related claim flows
CMS MES certification artifacts
Multi-module MES implementation experience

Senior Business Analyst

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