Senior Business Analyst - Medicaid Provider Enrollment Modernization
Core
Senior Business Analyst supporting a major Medicaid provider enrollment modernization initiative focused on improving digital experiences, workflows, integrations, and data quality for public-sector healthcare.
Role type
Senior Business Analyst (Healthcare/Public Sector)
Builds
Provider-facing portals, workflow automation, MMIS integrations, identity management, and data exchanges.
Domain
Healthcare / Public Sector / Medicaid
Required skills
Business requirements elicitation and documentation, process flow mapping, user story development, requirements traceability, system interface analysis, workflow automation definition, data mapping and validation, Agile delivery participation, test scenario development, stakeholder facilitation
Preferred skills
Medicaid provider enrollment process knowledge, MMIS system experience, OnBase workflow platform familiarity, provider data source familiarity (NPPES, LEIE, SAM.gov), identity management technologies (Okta, SAML), requirements modeling tools (Jira, Azure DevOps, Visio), Business Analysis certifications (CBAP, CCBA, PMI-PBA)
Technologies
OnBase, MMIS, Jira, Azure DevOps, Confluence, Visio, Okta, SAML, NPPES, LEIE, SAM.gov
Responsibilities
Facilitate discovery and requirements sessions with policy, operations, technical, and vendor stakeholders; Analyze current provider enrollment processes and workflows to identify improvement opportunities; Elicit, document, validate, and trace business, functional, data, and integration requirements; Translate business needs into user stories, use cases, process flows, and acceptance criteria; Define requirements for provider-facing portals and document page flows and navigation; Support requirements for authentication, role-based access, and integration with identity-management solutions; Analyze and document workflow automation requirements for screening, licensing, and fraud indicators; Collaborate with integration teams to define data mappings and interface requirements; Analyze provider enrollment data involving NPIs, taxonomy, and affiliations; Coordinate with stakeholders to resolve requirement gaps and manage changes; Participate in Agile delivery activities including sprint planning and backlog refinement; Develop test scenarios and support system integration and user acceptance testing; Maintain end-to-end traceability from business needs through implementation.
Seniority
Senior, hands-on IC
