TPL Senior Business Analyst

We are currently seeking a TPL Senior Business Analyst to join our team in Little Rock, Arkansas (US-AR), United States (US). We are seeking a Senior Business Analyst with deep expertise in Medicaid Third Party Liability (TPL), claims processing, and recovery operations. The ideal candidate will have hands‑on and in-depth experience and knowledge with Medicaid Management Information System (MMIS), Coordination of Benefits (COB), Crossovers – (Medicare A & B), Medicare Advantage C plans (MCA), and post‑payment recovery workflows. The TPL SR BA will support Business Operations Support (BOS) for a state Medicaid Program. Working under the direction of the Operations Manager, the analyst will collaborate with state business staff, system and service vendors, and NTT DATA project managers and consultants to support planning, design, User Acceptance Testing (UAT), implementation, and evaluation of key system and processes changes. Key Responsibilities Analyze Medicaid claims, TPL workflows, Medicare Crossovers (Pt A&B), Medicare Advantage (Pt C), and recovery data to identify trends, root causes, and opportunities for cost avoidance and recovery optimization Translate federal/state TPL policies into system requirements Support MMIS enhancements, including adjudication rules and edits, reporting, letters, etc. Work with vendors and state stakeholders to improve all faucets of insurance discovery and recovery processes Lead requirements gathering, documentation, create and conduct UAT testing Identify and report issues, risks, and dependencies Support issue triage, backlog management, and operational reporting for day-to-day TPL activities Required Qualifications Minimum 10 years of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations Minimum 8 years of experience with TPL to include a combination of the following: Coordination of Benefits, Medicare Crossover Part (A&B) Claims processing, Medicare Advantage (Part C), claims workflows, including complex claim scenarios and regulatory compliance. Minimum 6 years of experience with elicitation and verification of business and technical requirements Minimum 3 years of experience with system development methodology and project management principles Minimum 3 years of experience conducting reviews of system development life cycle documentation, project and technical architecture and design deliverables/artifacts Undergraduate degree or 4 years relevant experience Preferred Skills Candidate must be local to the client in Little Rock, Arkansas Experience translating Federal and State regulations into working requirements that are actionable by technical teams Experience working with Medicaid Enterprise Systems (MES) vendors Ability to translate between non-technical business users and technical IT resources Strong SQL and data analysis skills Strong understanding of HIPAA and X12 EDI standards Compensation & Benefits The starting pay range for this remote role is $91,260 - $152,100. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short and long term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally-required benefits. EEO Statement NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. For our EEO Policy Statement, please click here. If you’d like more information on your EOO rights under the law, please click here. For Pay Transparency information, please click here. Nearest Major Market: Little Rock Job Segment: Business Analyst, Database, SQL, Consulting, Project Manager, Technology #J-18808-Ljbffr