Business Analyst – Medicaid MMIS
Gainwell Technologies
full-time
Posted on:
Location Type: Remote
Location: District of Columbia • Washington • United States
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Salary
💰 $59,500 - $79,400 per year
About the role
- Serve as the primary functional liaison between the client, MCOs, and internal technical teams
- Lead requirements gathering sessions and triage meetings to address defects and operational gaps
- Analyze and document complex requirement issues
- Investigate root causes of systemic issues reported by Providers or MCOs
- Support the Compliance Manager in assessing the impact of new mandates on current system functionality
Requirements
- 5+ years of Business Analysis experience in Healthcare IT
- 2 years dedicated to Medicaid MMIS or state-level Eligibility & Enrollment systems
- Strong understanding of Core MMIS modules (Claims Adjudication, Encounters Processing, Financial Management, Provider Management, MCO Capitation)
- Experience with ALM tools (JIRA, Microfocus ALM, SharePoint)
- Knowledge of Microsoft Excel advanced features such as macros and relational database software
Benefits
- flexible vacation policy
- educational assistance
- comprehensive health benefits
- 401(k) employer match
- leadership and technical development academies
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Business AnalysisMedicaid MMISEligibility & Enrollment systemsCore MMIS modulesClaims AdjudicationEncounters ProcessingFinancial ManagementProvider ManagementMCO CapitationMicrosoft Excel
Soft skills
communicationleadershiporganizationalanalyticalproblem-solving