Senior Business Analyst – Medicaid Pharmacy Claims, MMIS

Conduent

Senior Business Analyst supporting Medicaid pharmacy claims and MMIS initiatives, collaborating with stakeholders to define requirements and improve processes.

Posted 6/11/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $70,956 - $92,150 per yearWebsite

Tech Stack

Tools & technologies

AzureSDLCSQL

About the role

Key responsibilities & impact

Lead requirements gathering, analysis, documentation, and validation for Medicaid pharmacy claims, MMIS processing, eligibility, prior authorization, and related workflows.
Facilitate discussions with business, vendor, and technical teams to define requirements, resolve issues, and align on scope and priorities.
Translate business, policy, and regulatory needs into clear requirements, user stories, process flows, business rules, and acceptance criteria.
Analyze current and future-state processes to identify gaps, risks, dependencies, and improvement opportunities.
Maintain key project artifacts such as traceability matrices, workflow documentation, interface mappings, and decision logs.
Partner with testing teams to develop test scenarios, support SIT and UAT, manage defects, and validate business outcomes.
Support implementation, change requests, issue resolution, and production support activities.
Mentor junior analysts and promote consistent analysis, documentation, and collaboration practices.

Requirements

What you’ll need

Bachelor’s degree in Business, Information Systems, Healthcare Administration, Public Administration, or a related field; equivalent experience may be considered.
5+ years of experience as a Business Analyst or Systems Analyst supporting complex healthcare or public-sector systems.
3+ years of experience with Medicaid claims processing, MMIS/MES platforms, or Medicaid pharmacy operations.
Strong experience documenting business and functional requirements, process flows, user stories, use cases, and acceptance criteria.
Experience with requirements traceability, change control, and support across the project lifecycle.
Hands-on experience with test planning, test case development, SIT, UAT, defect management, and validation of business outcomes.
Experience working in Agile and/or hybrid SDLC environments with cross-functional teams.
Strong facilitation, communication, analytical, and documentation skills.
Proficiency with tools such as Azure DevOps, Jira, SharePoint, Microsoft Office, Visio, and SQL.

Benefits

Comp & perks

Health and Welfare Benefits: tailored to fit you and your family's needs starting on the first day of employment.
Retirement Savings: support to save for your future.
Employee Discounts: access to a vast selection of discounts on merchandise, services, travel, and more.
Career Growth Opportunities: opportunities to advance your career with a vast portfolio of businesses and a global footprint.
Paid Training: earn while you learn with access to award-winning learning platforms.
Paid time off: attractive paid time off packages to enjoy life away from work.
Great Work Environment: award-winning culture with recognition for diversity efforts.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

requirements gatheringbusiness analysisfunctional requirementsprocess flowsuser storiestest planningdefect managementAgileSDLCMedicaid claims processing

Soft Skills

facilitationcommunicationanalytical skillsdocumentation skillsmentoringcollaboration