Senior Business Analyst, MMIS Finance

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $85.5k - $111k / year

⏰ Full Time

🟠 Senior

🧐 Business Analyst

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Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🤝 B2B

☁️ SaaS

🏢 Enterprise

💰 $93M Post-IPO Debt - Conduent on 2025-08

B2B • SaaS • Enterprise

Conduent is...

📋 Description

• Lead business and functional requirements for the MMIS Financial Management module from requirements gathering through implementation and production validation • Facilitate stakeholder workshops and document current-state financial processes • Identify gaps and define target-state business and system needs • Develop requirements, user stories, acceptance criteria, process flows, decision tables, data mappings, interface requirements, and reconciliation rules • Analyze the end-to-end financial lifecycle, including claims payment, payment cycles, warrants and EFT, remittance advice, receivables, recoveries, recoupments, refunds, offsets, voids, reissues, and reconciliation • Trace claims and financial transactions across adjudication, payment, remittance, banking, general-ledger interfaces, and financial reporting • Collaborate with finance, program, development, architecture, and QA teams to define screens, work queues, interfaces, batch cycles, and system behavior • Maintain requirements traceability, manage backlog priorities and requirement changes, and resolve business and testing questions • Support SIT, UAT, regression testing, defect triage, root-cause analysis, and production validation • Ensure payment cycles and financial postings reconcile • Assess Medicaid policy, regulatory, and CMS reporting impacts • Communicate financial concepts and system behavior to technical and nontechnical stakeholders

🎯 Requirements

• Business Analyst experience with Medicaid MMIS/MES, healthcare payer systems, claims payment, or comparable financial operations • Knowledge of claims adjudication, provider payment, accounts payable and receivable, recoveries, adjustments, refunds, offsets, and reconciliation • Working knowledge of 837P, 837I, and 837D transactions • Strong knowledge of the 835, including CAS, PLB, and payment balancing • Knowledge of Medicare crossover, coordination of benefits, and third-party liability or recovery processes affecting Medicaid payment • Ability to use SQL and X12 validation tools • Experience with requirements documentation, stakeholder facilitation, traceability, SIT, UAT, defect triage, and production validation • Eight or more years of business analysis or healthcare systems experience, including MMIS financial management or Medicaid payment operations (preferred) • Experience with CMdS or Medicaid enterprise/healthcare payer platforms such as Gainwell, QNXT, HealthRules, or Facets (preferred) • Knowledge of CMS-64, FMAP, 1099 reporting, MITA Financial Management, X12 820, or NCPDP transactions (preferred) • Experience with Agile delivery and backlog tools such as Azure DevOps or Jira (preferred)

🏖️ Benefits

• Health and welfare benefits tailored to employee and family needs, starting on the first day of employment • Retirement savings plan • Paid time off • Paid holidays • Voluntary dental and vision programs • Life and disability insurance • Bonus or incentive eligibility based on business need • Remote work from home • Career growth and advancement opportunities • Award-winning work environment and diversity culture