Senior Business Analyst with Medicaid/MMIS SME -100% Remote

Medicaid/MMIS Subject Matter ExpertAct as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modulesLead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories)Translate complex business needs into clear functional and technical requirementsCollaborate with stakeholders, product owners, and development teamsEnsure compliance with CMS guidelines, HIPAA, and state Medicaid regulationsSupport defect management, and production supportIdentify process improvements and support system modernization initiativesMentor business analysts and contribute to Agile deliveryRequirements7–12 years of experience in Medicaid domain, with strong MMIS experienceDeep understanding of claims processing, eligibility, and provider management systemsProven experience in business analysis, stakeholder engagement, and documentationHands-on experience with Agile/Scrum methodologiesStrong analytical, communication, and problem-solving skillsPreferred QualificationsExperience with MMIS platforms (Facets, QNXT, MES, etc.)Knowledge of HL7/FHIR and healthcare data exchange standardsExperience working with state Medicaid agencies or healthcare payers