Medicaid Business Analyst

About Vimo:

Vimo started as the "Expedia" of health insurance and has evolved into a leader in transforming government IT infrastructure with its proven SaaS and AI technology. Our innovative approach to health insurance shopping and enrollment has expanded beyond exchanges, and we are now reinventing how states administer safety net programs such as Medicaid, SNAP (food stamps), child care, and unemployment insurance. With our cutting-edge technology, we are helping agencies serve more people, faster, and transforming healthcare service delivery as we know it.

Job Summary:

The Business Analyst is responsible for the end-to-end integrity of Account Transfer (AT) XML data exchanges between the State Exchange and the Medicaid Management Information System (MMIS). You will perform gap analysis on XML schemas, define field-level mapping, and coordinate directly with Medicaid partners to ensure seamless data flow in production.

Key Responsibilities:

• XML Data & Gap Analysis:

• Review and analyze Account Transfer XML files to identify data discrepancies, structural gaps, or missing fields between the Exchange and Medicaid systems.

• Troubleshoot and resolve production data issues related to failed or "stuck" account transfers.

• Field-Level Mapping & Documentation:

• Lead the coordination with Medicaid stakeholders to define and maintain Source-to-Target Mapping (STTM) documents for all shared data elements.

• Maintain a centralized repository of agreed-upon mapping logic, data dictionaries, and transformation rules.

• Medicaid Liaison & Traffic Monitoring:

• Act as the primary point of contact for Medicaid agencies, conducting regular "pulse checks" to monitor system-to-system traffic health.

• Report on transmission success rates and proactively identify trends in data rejection or service interruptions.

• Integration Testing & Validation:

• Support System Integration Testing (SIT) and User Acceptance Testing (UAT) by developing test cases specifically for data mapping and XML validation.

• Verify that incoming data correctly triggers the intended enrollment actions in the target system.

Basic Qualifications:

• Technical Skills: Proficiency in reading and validating XML/XSD; strong SQL skills for data reconciliation; experience with EDI or health data standards (HL7/NIEM).
• Experience: 3-5+ years in Medicaid, Healthcare IT, or Insurance Exchange environments with a focus on data integration.
• Analytical Ability: Proven experience in Gap Analysis and complex data mapping.
• Communication: Strong ability to translate technical XML issues into business impacts for Medicaid stakeholders and vice versa

Compensation and Benefits:

• Competitive compensation - All In range of ($140,000-$170,000). (Please note that salary and compensation may vary based on factors such as skills, experience, performance and location.)
• We offer a comprehensive benefits package, including but not limited to:
• Health, Dental, Life, Disability, and Vision insurance
• Healthcare spending or reimbursement accounts (HSA/FSA)
• Retirement benefits (401k)
• Paid time off
• Holidays: 13 paid days per year
• Education assistance or tuition reimbursement-
• Employee discounts for Gym memberships & commuting/travel assistance

Our Vaues:

• We believe that working hard, when it is imbued with purpose, can and should be fun.
• You'll find we are a "can do" place where people work together and roll up their sleeves to get the job done.
• Everyone has a voice; everyone's ideas count, and everyone is respected.
• We have built a company, as well as a community of friends and colleagues, with respect for each other.

Information Security & Data Protection:

• This role may involve access to sensitive or regulated information. The candidate is expected to handle all data in accordance with company security, privacy, and data protection policies.
• Compliance with access control, data classification, and applicable legal and regulatory requirements is required.