Senior Business Analyst – Medicaid Pharmacy Claims, MMIS

🕒 Junho 11

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $70.956 - $92.150 / ano

⏰ Tempo Integral

🟠 Sênior

🧐 Analista de Negócios

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

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Conduent

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 2017

🤝 B2B

🛍️ Comércio Eletrônico

🏛️ Governo

💰 Venture Round em 2009-01

B2B • eCommerce • Government

Conduent é uma provedora de soluções impulsionadas por tecnologia que simplifica as operações de negócios tanto para o setor público quanto para empresas privadas. A empresa se especializa em aprimorar a experiência do cliente por meio de automação e analytics, otimizar operações financeiras e oferecer soluções completas de RH. Com foco em aumentar a eficiência operacional, a Conduent entrega uma variedade de serviços, incluindo soluções de atendimento ao cliente (contact center), soluções para o setor de saúde (healthcare) e soluções para órgãos de transporte, atendendo de ponta a ponta às necessidades de seus clientes.

Descrição

• 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.

🎯 Requisitos

• 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.

🏖️ Benefícios

• 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.