Senior Business Analyst, MMIS Finance

🕒 October 5

🇺🇸 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

🏥 Healthcare

📦 Logistics

💼 Consulting

💰 Venture Round on 2009-01

Healthcare • Logistics • Consulting

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 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 business and functional 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 throughout delivery • 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 to trace claims, payments, receivables, remittances, and downstream financial data • 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 • Experience with CMdS or another Medicaid enterprise or healthcare payer platform such as Gainwell, QNXT, HealthRules, or Facets • Knowledge of CMS-64, FMAP, 1099 reporting, MITA Financial Management, X12 820, or NCPDP transactions • Experience with Agile delivery and backlog tools such as Azure DevOps or Jira

🏖️ Benefits

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

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