Senior Business Analyst with Medicaid/MMIS SME -100% Remote
The Dignify Solutions, LLC
Houston, TX
- Remote job
Medicaid/MMIS Subject Matter Expert
Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules
Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories)
Translate complex business needs into clear functional and technical requirements
Collaborate with stakeholders, product owners, and development teams
Ensure compliance with CMS guidelines, HIPAA, and state Medicaid regulations
Support defect management, and production support
Identify process improvements and support system modernization initiatives
Mentor business analysts and contribute to Agile delivery
Requirements
- 712 years of experience in Medicaid domain, with strong MMIS experience
- Deep understanding of claims processing, eligibility, and provider management systems
- Proven experience in business analysis, stakeholder engagement, and documentation
- Hands-on experience with Agile/Scrum methodologies
- Strong analytical, communication, and problem-solving skills
Preferred Qualifications
- Experience with MMIS platforms (Facets, QNXT, MES, etc.)
- Knowledge of HL7/FHIR and healthcare data exchange standards
- Experience working with state Medicaid agencies or healthcare payers
Vacancy posted 1 day ago
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