Senior Requirements Analysis (Medi-Cal)

HealthAxis Group, LLCTampa, FL
11d

About The Position

The Requirements Analyst is responsible for gathering, analyzing, and documenting business requirements, as well as managing projects from initiation through completion. This role combines the analytical skills of a Requirements Analyst with the leadership and organizational skills of a Project Manager to ensure successful project outcomes. The ideal candidate will be able to seamlessly transition between understanding client needs and managing project timelines, resources, and deliverables. We are seeking a Requirements Analyst / Project Team member with direct experience in D-SNP and Medi-Cal programs. This client facing role is responsible for translating complex regulatory requirements into clear business and technical solutions while managing projects through successful delivery. This role is structured as a temporary W-2 position for up to 11 months. While not guaranteed, there may be opportunities for extension or future consideration based on performance and business needs.

Requirements

  • Demonstrated experience with D-SNP and/or Medi-Cal programs
  • Experience within a health plan, TPA, or healthcare services organization
  • Working knowledge of claims processing, enrollment and eligibility, care coordination, and regulatory reporting (e.g., HEDIS, encounter data)
  • Experience interpreting and applying CMS requirements, state Medicaid (Medi-Cal) requirements, and Medicare-Medicaid integration models
  • Ability to manage both requirements analysis and project execution
  • Strong stakeholder communication and alignment skills
  • Ability to translate complex regulatory requirements into clear deliverables
  • Strong organizational and problem-solving capabilities
  • Bachelor’s degree or equivalent experience
  • Minimum 3+ years in business requirements analyst or similar role

Nice To Haves

  • Zendesk, Microsoft Project, Monday.com, or similar tools
  • Microsoft Excel and PowerPoint

Responsibilities

  • Gather, analyze, and document requirements aligned with CMS, D-SNP, and Medi-Cal regulations
  • Translate regulatory and operational needs into functional and technical specifications
  • Manage projects from initiation through completion, including timelines, risks, and deliverables
  • Maintain alignment between business goals, compliance requirements, and system design
  • Lead cross-functional collaboration across business, compliance, and technical teams
  • Support testing, validation, and implementation activities
  • Maintain requirement traceability and ensure delivery accuracy
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