Senior Medicaid Technical Business Analysis Engineer

Conduent State Healthcare, LLC • ,

2d • $81,197 - $105,450 • Remote

About The Position

Conduent is seeking a Senior Medicaid Technical Business Analysis Engineer with a strong background in Medicaid operations, policy, and claims processing. The role works at the intersection of business and technology, translating regulatory and business requirements into system solutions. The position collaborates with business stakeholders, product teams, architects, developers, and QA professionals to support claims processing, investigate operational and system issues, evaluate policy changes, and improve efficiency, compliance, and member outcomes.

The role involves gathering and documenting requirements; researching Medicaid policy, CMS mandates, client directives, billing manuals, and technical documentation; investigating claims and system issues; and working with development and QA teams on enhancements and operational improvements. It also develops test strategies and plans, supports UAT and implementation, documents and improves processes, and analyzes data and trends for operational insights and reporting.

This is a remote position. Conduent describes the role as offering health and welfare benefits, retirement savings support, career growth opportunities, paid time off, and a positive work environment. The estimated salary range is $81,197–$105,450, with potential eligibility for a bonus or incentive based on business need.

Requirements

• Experience interpreting and applying Medicaid policies, CMS regulations, and state healthcare program requirements.
• Strong knowledge of Medicaid claims processing and payment systems.
• Ability to understand and apply Medicaid payment methodologies in business analysis and testing.
• Strong analytical, troubleshooting, and problem-solving skills.
• Ability to independently research and evaluate documentation, policies, billing manuals, and technical specifications.
• Excellent communication and collaboration skills with business and technical stakeholders.
• Professional presence and ability to manage multiple priorities in a fast-paced environment.
• At least 8 years of healthcare industry experience, preferably within the MMIS (Medicaid Management Information System) domain.
• Proven experience supporting large-scale Medicaid systems and operational processes.
• Working knowledge of SQL and relational database concepts.
• Strong presentation, facilitation, and organizational skills.
• Proficiency in Microsoft Office applications, including Outlook, Word, and Excel.
• Excellent written and verbal communication skills and a strong customer-focused mindset.
• Ability to work independently while driving initiatives from analysis through implementation.

Responsibilities

• Partner with business stakeholders to gather, analyze, and document business and system requirements.
• Investigate suspended claims, operational issues, and system defects to identify root causes and recommend solutions.
• Collaborate with development and QA teams to design, test, and validate system enhancements and operational improvements.
• Review Medicaid policy updates, CMS mandates, and client directives to assess impacts on business processes and system functionality.
• Research billing manuals, design documentation, and regulatory guidance to support issue resolution and decision-making.
• Document and improve business processes to increase operational efficiency and effectiveness.
• Act as a liaison between business and technical teams, maintaining communication and alignment throughout the project lifecycle.
• Develop test strategies, test scenarios, and test plans that validate state policy requirements and payment methodologies.
• Support User Acceptance Testing (UAT) and facilitate implementation of system changes.
• Analyze data and trends to provide actionable insights and support operational reporting needs.

Benefits

• Health and welfare benefits tailored to employees' and their families' needs, beginning on the first day of employment.
• Retirement savings plan and support.
• Career growth and advancement opportunities.
• Paid time off.
• Health insurance coverage.
• Voluntary dental and vision programs.
• Life and disability insurance.
• Paid holidays.
• Potential bonus or incentive eligibility based on business need.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed