Business Analyst - Medicaid

S2Tech • Jefferson City, MO

193d

About The Position

We are seeking a versatile and experienced Medicaid Business Analyst to join our dynamic team. This role is instrumental in driving both the implementation of the Medicaid technology platform and the broader transformation initiatives within our organization. You will work across a spectrum of projects - from leading technology deployments and managing PMO oversight to guiding business process re-engineering and organizational change. Your expertise will support regulatory compliance, strategic decision-making, and process innovation to ensure successful project outcomes and improved Medicaid service delivery.

Requirements

• Bachelor's degree in Business, Health Administration, Information Systems, or a related field.
• 5+ years of experience as a Business Analyst (preferably within Medicaid-related projects).
• Proven experience in managing or supporting technology implementation projects, business process re-engineering, and organizational change initiatives.
• Proficient in business analysis tools and methodologies (e.g., process mapping, gap analysis, UML, BPMN).
• Familiarity with Agile, Scrum, and Waterfall methodologies.
• Experience with project management and reporting tools (e.g., JIRA, MS Project, Confluence).
• Working knowledge of data analytics and business intelligence tools is a plus.
• Solid understanding of Medicaid regulations, healthcare policies, and compliance requirements.
• Experience working with Medicaid systems and knowledge of CMS guidelines, HIPAA, and related regulatory frameworks.
• Excellent written and verbal communication skills, with the ability to articulate complex concepts to diverse audiences.
• Strong interpersonal skills with the ability to lead cross-functional teams and manage stakeholder expectations.
• Exceptional problem-solving skills, critical thinking, and the ability to work in a fast-paced, dynamic environment.

Nice To Haves

• PMP, CBAP, Agile Certification, or other relevant project management/business analysis certifications.
• Any additional certifications relevant to healthcare or Medicaid technology projects are a plus.

Responsibilities

• Collaborate with cross-functional teams and key stakeholders to elicit, analyze, and document detailed business requirements.
• Develop comprehensive functional specifications, user stories, and acceptance criteria for both technical and business teams.
• Utilize process mapping, gap analysis, and modeling tools to document current and future state workflows.
• Lead or support end-to-end project implementation, working directly on technology platform deployments or in a PMO oversight capacity.
• Coordinate with project managers to define project scope, deliverables, timelines, and risk mitigation strategies.
• Monitor progress against key milestones, ensuring adherence to quality, regulatory, and compliance standards.
• Analyze and redesign existing Medicaid business processes to improve operational efficiency and align with best practices.
• Identify opportunities for process automation and system integration to streamline workflows.
• Develop business cases and cost-benefit analyses to support transformation initiatives.
• Develop and implement change management strategies, including communication plans, training programs, and stakeholder engagement initiatives.
• Facilitate workshops, training sessions, and feedback loops to ensure smooth transitions during technology and process changes.
• Act as a liaison between technical teams and business units, ensuring clear communication and alignment throughout change initiatives.
• Build and maintain strong relationships with internal stakeholders (executives, operations, IT, compliance) and external partners (vendors, regulatory bodies).
• Deliver clear and concise project updates, status reports, and executive summaries.
• Engage in strategic discussions to provide insights on Medicaid policies, operational challenges, and technological opportunities.
• Assess project risks, including regulatory, operational, and technical challenges, and develop mitigation strategies.
• Ensure that all initiatives adhere to Medicaid regulations, healthcare compliance standards, and internal governance policies.
• Support quality assurance efforts through system integration testing (SIT), user acceptance testing (UAT), and post-implementation reviews.
• Leverage data analytics to monitor project performance and process improvements.
• Provide actionable insights through detailed reports and dashboards to drive continuous improvement.
• Utilize business intelligence tools to track key performance indicators (KPIs) and evaluate project outcomes.
• Coordinate with vendors and external partners during technology implementations and process integrations.
• Evaluate vendor performance and ensure alignment with project requirements and industry best practices.
• Negotiate and manage contractual obligations related to project deliverables.

Benefits

• Medical / Dental / Vision Insurance - insurance premium assistance provided.
• Additional Insurance (Life, Disability, etc.).
• Paid Time Off (Vacation & Sick Leave).
• 401(k) Retirement Savings Plan & Health Savings Account.
• Various training courses to promote continuous learning.
• Corporate Wellness Program.

What This Job Offers

• Career Level: Mid Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: Bachelor's degree