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Business Analyst - Medicaid Compliance

8/2/2025

N/A

Job Summary

A company is looking for a Business Analyst to lead the implementation and support of a Contract Compliance Tracking System for Medicaid Managed Care.

Key Responsibilities
  • Lead business analysis activities for the design, implementation, and maintenance of the Medicaid Contract Compliance Tracking system
  • Develop and manage system requirements, workflows, business rules, and process documentation
  • Create and execute comprehensive test cases for user acceptance testing and system integration
Required Qualifications
  • Minimum 5 years of experience as a Business Analyst, with at least 3 years focused on Medicaid Managed Care or other state/federal health programs
  • Strong knowledge of Medicaid Managed Care programs and federal regulations related to oversight and compliance
  • Demonstrated experience gathering business requirements and documenting business rules
  • Hands-on experience with test case development and execution
  • Proficiency with tools such as JIRA, Confluence, Visio, Excel, and reporting platforms like Power BI or Tableau

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