Senior Business Analyst – Medicaid Pharmacy Claims, MMIS

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $71k - $92.2k / year

⏰ Full Time

🟠 Senior

🧐 Business Analyst

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Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🤝 B2B

🛍️ eCommerce

🏛️ Government

💰 Venture Round on 2009-01

B2B • eCommerce • Government

Conduent is a leading provider of technology-led solutions aimed at enhancing customer experiences and improving operational efficiency for businesses and government agencies. The company offers a wide range of services, including customer experience management, finance and accounting solutions, human capital management, integrated digital solutions, and specialized services for healthcare and public sector clients. By leveraging automation and analytics, Conduent helps organizations streamline processes and drive business success.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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.