System Analyst - Manufacturing

HEXAWARE • United States,

2d

About The Position

Serve as Business Analyst for CMdS product development and implementation on a Medicaid modernization program. Translate legacy MMIS claims, member, and finance behavior and state Medicaid policy into CMdS functional design, requirements, and acceptance criteria. Partner with development, QA, architecture, and business stakeholders to deliver MES-aligned solutions that replace or integrate with legacy adjudication, eligibility/enrollment, and financial accounting processes.

Requirements

• 12+ years experience
• Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance domain

Responsibilities

• Own requirements and functional design for assigned CMdS modules (Claims, Member, Finance, and related interfaces).
• Define epics, user stories, and definition of done; prioritize against Medicaid policy, MES certification goals, and release plans.
• Facilitate working sessions; clarify requirements for developers and QA; resolve functional questions during build and test.
• Track scope, dependencies, risks, and decisions; maintain traceability from legacy rule to CMdS design to test evidence.
• Lead functional design for claim intake, claim type assignment, validity/pricing edit

What This Job Offers

• Career Level: Senior
• Education Level: No Education Listed