Business Analyst - Medicaid and Claims -Remote with Travel
Summary
Analyzes and improves Medicaid claims and MMIS systems, modernizing legacy platforms and implementing commercial suites like CMds or Facets.
Required qualifications 12 years business analysis experience in Medicaid MMIS / MES, with deep hands-on work in at least two of: Claims, Member/Eligibility-Enrollment, Finance/Financial Accounting. Proven experience developing and implementing claims systems / MMIS / MES platforms, such as CMds, Health Enterprise, QNXT, Facets, or comparable commercial Medicaid/claims suites. Experience modernizing or replacing legacy MMIS (COBOL/mainframe or equivalent) with a commercial Medicaid platform. St…