Location: Remote
Our client is seeking an experienced Functional Analyst with expertise in Provider Management Module (PMM) systems, preferably within a state agency environment. This role will serve as the subject matter expert for healthcare provider lifecycle workflows, compliance regulations, and network management processes, translating complex business needs into functional requirements for engineering teams.
Facilitate Joint Application Design (JAD) sessions with stakeholders to gather business requirements and expectations.
Translate operational workflows into detailed functional documents, use cases, and business requirement frameworks.
Perform current-state vs. future-state gap analysis and define software logic for provider self-service portals, credentialing workflows, tax ID verification, and demographic management.
Ensure system design aligns with federal guidelines, NCQA standards, and state healthcare administrative requirements.
Act as the key liaison between business stakeholders and technical teams, communicating business rules and technical constraints clearly.
Map data definitions and integrations across external systems, including Electronic Health Records (EHR), provider identifier databases, and claims processing systems.
Support validation and testing by building test strategies and reviewing user acceptance criteria.
10+ years of experience working with government health and human services applications/programs.
Minimum 3 years of experience working with state or federal Provider Management systems.
Experience creating functional design documents, technical schemas, and process workflows.
Familiarity with healthcare messaging architectures and SQL for validation.
Experience with MMIS, payer enrollment tools, or large-scale hospital credentialing systems.
Hands-on experience with tools such as Jira, Azure DevOps, or Confluence.
Strong communication and stakeholder management skills with the ability to align priorities across teams.
Ability to break down complex regulatory guidelines into clear, manageable phases.
Ability to create precise functional documentation independently.
About Cyquent
Cyquent is a CMMI & ISO Certified Technology Enabler providing end-to-end IT solutions and services to organizations in both the public and private sectors since 2001. We are known for delivering high-quality, scalable solutions across complex enterprise environments.
Why Join Cyquent?
This is an opportunity to work alongside a high-performing technology team supporting a wide range of enterprise and public sector clients. You'll gain hands-on experience working on impactful projects in a collaborative and fast-paced environment.
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