Technical Business Analysis Engineer III, Medicaid

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $65.8k - $85.5k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👷🏻‍♀️ Engineer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Partner with business stakeholders to gather, analyze, and document business and system requirements • Investigate suspended claims, operational issues, and system defects to identify root causes and recommend solutions • Collaborate with development and QA teams to design, test, and validate system enhancements and operational improvements • Review Medicaid policy updates, CMS mandates, and client directives to assess impacts on business processes and system functionality • Conduct research using billing manuals, design documentation, and regulatory guidance to support issue resolution and decision-making • Document and improve business processes to increase operational efficiency and effectiveness • Serve as a liaison between business and technical teams throughout the project lifecycle • Develop test strategies, test scenarios, and test plans validating state policy requirements and payment methodologies • Support User Acceptance Testing activities and facilitate implementation of system changes • Analyze data and trends to provide actionable insights and support operational reporting needs

🎯 Requirements

• Experience interpreting and applying Medicaid policies, CMS regulations, and state healthcare program requirements • Strong knowledge of Medicaid claims processing and payment systems • Ability to understand and apply Medicaid payment methodologies in business analysis and testing activities • Strong analytical, troubleshooting, and problem-solving skills • Ability to independently research and evaluate documentation, policies, billing manuals, and technical specifications • Excellent communication and collaboration skills with business and technical stakeholders • Ability to manage multiple priorities in a fast-paced environment • 8+ years of healthcare industry experience, preferably within the MMIS domain • Proven experience supporting large-scale Medicaid systems and operational processes • Working knowledge of SQL and relational database concepts • Strong presentation, facilitation, and organizational skills • Proficiency in Microsoft Office applications, including Outlook, Word, and Excel • Excellent written and verbal communication skills with a customer-focused mindset • Ability to work independently while driving initiatives from analysis through implementation

🏖️ Benefits

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