Senior Business Analyst

We are seeking an experienced Senior Business Analyst to support the implementation of a Medicaid Provider Management System. The successful candidate will serve as the critical liaison between business stakeholders, Medicaid program operations, technical teams, and implementation partners to ensure the successful delivery of a provider enrollment and management solution.

This role requires a strong combination of Medicaid domain expertise, business process analysis, requirements management, and technology implementation experience. The Business Analyst will play a key role in defining business needs, documenting requirements, supporting testing activities, and ensuring compliance with federal and state Medicaid regulations.

**This is a fully remote position. Requires 10% travel. **

Why Join Maximus?

• 💰 Competitive Compensation - Bonus opportunities based on performance.

• 🛡️ Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.

• 🌟 Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.

• 🏝️ Unlimited Time Off Package - Enjoy UTO, Holidays, and sick leave,

• 🌱 Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).

• 🏆 Recognition Platform - Acknowledge and appreciate outstanding employee contributions.

• 📚 Tuition Reimbursement - Invest in your ongoing education and development.

• 🎁 Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.

• 🌟 Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.

• 📚 Professional Development Opportunities- Participate in training programs, workshops, and conferences.

Essential Duties and Responsibilities:

• Support the design and modification of business systems or IT systems.

• Interact with the business stakeholders and subject matter experts in order to understand gather, document, and analyze business needs and technical requirements.

• Document the functional and, sometimes, the technical design of the system

• Review and create system documentation and user manuals

• Elicit, analyze, document, and validate business, functional, and system requirements.

• Conduct stakeholder interviews, workshops, and requirements-gathering sessions.

• Develop business requirements documents, functional specifications, user stories, use cases, and process flows.

• Maintain traceability between business requirements, system design, testing, and implementation activities.

• Identify and resolve gaps, conflicts, and ambiguities in requirements.

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Medicaid Provider Operations Analysis

• Analyze and document current-state and future-state provider management processes.

• Ensure business requirements align with state and federal Medicaid regulations.

Stakeholder Engagement

• Serve as the primary liaison between business users, technical teams, testing teams and project leadership.

• Facilitate meetings and workshops with the customer system implementation teams.

System Implementation & Integration Support

• Support data mapping, interface requirements, and API integration efforts.

• Participate in solution design reviews to ensure business objectives are met.

• Assist with data conversion, migration, and validation activities.

Testing & Quality Assurance

• Support business user and testing activities.

• Assist in defect triage, root cause analysis, and resolution prioritization.

Compliance & Regulatory Support

• Ensure system functionality complies with CMS, HIPAA, and state Medicaid requirements.

• Analyze regulatory changes and assess impacts to business processes and system functionality.

• Support audits, compliance reviews, and documentation requirements.

Minimum Requirements

'- Bachelor’s degree in related field.

• 5-7 years of relevant professional experience.

• Equivalent combination of education and experience considered in lieu of degree.

Required Qualifications

• 5+ years of Business Analyst experience on large-scale software implementation projects.

• 3+ years of experience supporting Medicaid, healthcare payer, or provider management systems.

• Experience gathering and documenting business and functional requirements.

• Experience creating process flows and workflow documentation.

• Knowledge of software development lifecycle (SDLC) methodologies, including Agile and Waterfall.

• Strong analytical, problem-solving, and communication skills.

• Experience supporting system testing and User Acceptance Testing (UAT).

Preferred Qualifications

• Direct experience implementing Medicaid Provider Management Systems.

• Knowledge of CMS Medicaid provider enrollment and screening requirements.

• Experience with provider credentialing, licensing, and verification processes.

• Familiarity with healthcare data standards and integrations.

• Working knowledge of SQL, data analysis, and reporting tools.

• Experience with Jira, Visio, Microsoft Project, or similar tools.

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Minimum Salary

$125,000

Maximum Salary

$135,000