Sr Business Analyst With Medicaid Experience -Hybrid

Required Qualifications

• 15+ years of experience in Medicaid eligibility and enrollment systems and operations.
• Strong understanding of Medicaid eligibility rules, enrollment lifecycle, renewals,Stacking, notices, and case management processes.
• Mandatory experience working with large system integrators, healthcare vendors, or state Medicaid programs.
• Experience working on large state Medicaid programs and integrated eligibility systems.
• Experience supporting Medicaid modernization or eligibility transformation initiatives.
• Strong analytical, problem-solving, and communication skills.
• Experience working with business and technical teams in Agile and/or Waterfall environments.
• Ability to analyze large datasets and identify operational or system issues.
• Experience with defect triage, production support, and operational stabilization activities.

Preferred Qualifications

• Experience with platforms such as Pega, Curam, Salesforce, or other eligibility systems.
• Knowledge of CMS, ACA, MAGI, and state Medicaid compliance requirements.
• Familiarity with healthcare interoperability and data exchange processes.
• Experience supporting call center operations, renewals, and eligibility reconciliation efforts.
• SQL or PowerBI experience required.

Additional Information

• Experience working directly with state agencies is highly preferred.
• Candidate should be comfortable working in fast-paced operational and production support environments.
• Ability to lead discussions with executive stakeholders and operations leadership is desirable.