Business Analyst - Manufacturing

HEXAWAREUnited States,
Onsite

About The Position

We are now looking for a Technical Functional Analyst (TFAL) with strong expertise in both Pega and Medicaid/Healthcare. This role requires a candidate who can effectively bridge the gap between business and technology teams, with hands-on experience in eligibility and enrollment processes, as well as a strong understanding of Pega case management, workflows, integrations, and production support.

Requirements

  • 15+ years of Technical Functional Analyst or Business Systems Analyst experience.
  • Mandatory Healthcare OR Eligibility & Enrollment domain expertise, including: Eligibility Determination, Enrollment Lifecycle Management, Renewals and Redeterminations, Case Management, Notices and Correspondence, Stacking and Benefit Determination.
  • Mandatory Pega expertise, including: Pega Case Management, Workflows and Business Processes, Decision Rules, Routing and Assignments, Integrations and Interfaces, Production Support and Troubleshooting.
  • Experience supporting large-scale systems.
  • Strong experience working with Pega Architects, Developers, System Integrators, and State Agency stakeholders.
  • Experience with UAT, SIT, defect triage, root cause analysis, and production stabilization.

Nice To Haves

  • Strong SQL and Power BI skills are preferred.
  • Pega certifications (PBA/CSA) are highly preferred.

Responsibilities

  • Bridge the gap between business and technology teams.
  • Hands-on experience in eligibility and enrollment processes.
  • Strong understanding of Pega case management, workflows, integrations, and production support.
  • Experience supporting large-scale systems.
  • Experience working with Pega Architects, Developers, System Integrators, and State Agency stakeholders.
  • Experience with UAT, SIT, defect triage, root cause analysis, and production stabilization.
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