Senior Business Analyst - Medicaid Provider Enrollment Modernization

S2Tech•Chesterfield, MO

10d•Remote

About The Position

S2Tech is seeking a Senior Business Analyst to support a Medicaid provider enrollment modernization initiative. The Business Analyst will work with state program representatives, project leadership, technical teams, operations staff, and third-party vendors to analyze current provider enrollment processes and define requirements for portal, workflow, integration, and data-quality improvements. The position will support enhancements involving a provider-facing enrollment portal, OnBase workflow automation, integration between OnBase and the Medicaid Management Information System (MMIS), and improvements to provider enrollment data and operational processes.

Requirements

At least seven years of experience as a Business Analyst supporting complex information technology or systems-modernization projects
Experience eliciting, documenting, validating, and managing detailed business and functional requirements
Experience developing process flows, user stories, use cases, business rules, data requirements, acceptance criteria, and requirements traceability matrices
Experience working with business stakeholders, developers, architects, testers, operations teams, and third-party vendors
Experience analyzing system interfaces, data exchanges, workflow automation, and cross-system dependencies
Experience supporting system development, integration, testing, defect resolution, and implementation activities
Strong facilitation, analytical, problem-solving, documentation, and written and verbal communication skills
Ability to translate complex policy and operational needs into clear, actionable requirements for technical teams
Ability to manage multiple workstreams, priorities, and stakeholders in a complex project environment
Experience working in Agile or hybrid Agile delivery environments

Nice To Haves

Experience with Medicaid, healthcare, or other health and human services programs
Knowledge of Medicaid provider enrollment, screening, revalidation, licensing, affiliations, sanctions, exclusions, ownership, and provider data management
Experience supporting an MMIS or another large public-sector healthcare system
Experience with OnBase workflows, document management, work queues, e-forms, or related automation capabilities
Experience supporting provider-facing portals or online application systems
Experience defining requirements for APIs, system interfaces, data ingestion, data validation, and bidirectional integrations
Familiarity with provider-related data sources and screening systems, including NPPES, LEIE, and SAM.gov
Knowledge of National Provider Identifiers, provider taxonomy, ordering/referring/prescribing requirements, and provider affiliation structures
Experience with identity-management technologies such as Okta, SAML, or comparable authentication solutions
Familiarity with ADA and WCAG accessibility requirements
Experience supporting state government or federally funded systems-modernization projects
Experience with Jira, Azure DevOps, Confluence, Visio, or comparable requirements and process-modeling tools

Responsibilities

Facilitate discovery sessions with Medicaid policy, provider enrollment, operations, technical, security, and vendor stakeholders
Analyze existing provider enrollment processes, workflows, business rules, system interfaces, forms, notices, and operational pain points
Elicit, document, validate, and maintain business, functional, nonfunctional, data, and integration requirements
Translate business needs into clear user stories, use cases, process flows, business rules, requirements traceability documentation, and acceptance criteria
Support requirements for a provider-facing portal that allows providers to initiate, save, and submit enrollment applications, upload documentation, and track application status
Document portal workflows, page flows, data requirements, user roles, and navigation needs in coordination with UI/UX and development teams
Support requirements related to authentication, role-based access, accessibility, security, and integration with enterprise identity-management solutions
Analyze and document OnBase workflow enhancements supporting provider screening, licensing validation, risk-level assignment, notifications, site visits, fraud indicators, provider status changes, and work-queue automation
Work with OnBase, MMIS, portal, and integration teams to define data mappings, interface requirements, ingestion rules, validation rules, exception handling, and two-way data exchanges
Analyze provider enrollment data and processes involving National Provider Identifiers, taxonomy, licenses, affiliations, revalidation, provider ownership, group and individual relationships, and ordering, referring, and prescribing providers
Help identify opportunities to reduce manual processing, improve data quality, strengthen workflow visibility, and automate provider enrollment activities
Coordinate with business and technical stakeholders to clarify requirements, resolve gaps, manage requirement changes, and evaluate downstream impacts
Review system designs and technical artifacts to confirm alignment with approved business requirements
Support sprint planning, backlog refinement, demonstrations, defect review, and other Agile delivery activities
Develop test scenarios and expected results based on approved requirements and business rules
Support system integration testing, user acceptance testing, regression testing, defect triage, and validation of implemented functionality
Maintain requirements traceability from initial business need through design, development, testing, and implementation
Prepare status updates, meeting notes, decision logs, risk and issue documentation, and other project artifacts as assigned