Business Analyst Jobs

About The Position

Requirements

• Bachelor’s degree in Business, Information Systems, Healthcare Administration, Public Administration, or a related field; equivalent experience may be considered.
• 5+ years of experience as a Business Analyst or Systems Analyst supporting complex healthcare or public-sector systems.
• 3+ years of experience with Medicaid claims processing, MMIS/MES platforms, or Medicaid pharmacy operations.
• Strong experience documenting business and functional requirements, process flows, user stories, use cases, and acceptance criteria.
• Experience with requirements traceability, change control, and support across the project lifecycle.
• Hands-on experience with test planning, test case development, SIT, UAT, defect management, and validation of business outcomes.
• Experience working in Agile and/or hybrid SDLC environments with cross-functional teams.
• Strong facilitation, communication, analytical, and documentation skills.
• Proficiency with tools such as Azure DevOps, Jira, SharePoint, Microsoft Office, Visio, and SQL.

Nice To Haves

• Experience with Medicaid pharmacy claims standards, including NCPDP D.0.
• Knowledge of CMS guidance, state Medicaid policy, HIPAA, and healthcare data exchange requirements.
• Experience supporting PBM, PBA, or other Medicaid pharmacy vendor solutions.
• Professional certifications such as CBAP, PMI-PBA, or CSM.
• Experience serving as a lead analyst or mentoring other analysts on complex implementations.

Responsibilities

• Lead requirements gathering, analysis, documentation, and validation for Medicaid pharmacy claims, MMIS processing, eligibility, prior authorization, and related workflows.
• Facilitate discussions with business, vendor, and technical teams to define requirements, resolve issues, and align on scope and priorities.
• Translate business, policy, and regulatory needs into clear requirements, user stories, process flows, business rules, and acceptance criteria.
• Analyze current and future-state processes to identify gaps, risks, dependencies, and improvement opportunities.
• Maintain key project artifacts such as traceability matrices, workflow documentation, interface mappings, and decision logs.
• Partner with testing teams to develop test scenarios, support SIT and UAT, manage defects, and validate business outcomes.
• Support implementation, change requests, issue resolution, and production support activities.
• Mentor junior analysts and promote consistent analysis, documentation, and collaboration practices.

Benefits

• Health and Welfare Benefits
• Retirement Savings
• Employee Discounts
• Career Growth Opportunities
• Paid Training
• Paid time off
• health insurance coverage
• voluntary dental and vision programs
• life and disability insurance
• a retirement savings plan
• paid holidays
• paid time off (PTO) or vacation and/or sick time