AppWorks · 1 month ago
Medicaid Business Analyst
United States
Full-time, Contract
Remote
Senior Level
7+ years expAppWorks is seeking a highly skilled Senior Medicaid Business Analyst with strong experience in Healthcare and Medicaid programs. The role involves supporting business process analysis, requirements gathering, and system enhancements within Medicaid operations, ensuring compliance and effective documentation.
Responsibilities
Analyze Medicaid/Healthcare business processes and provide recommendations for improvements
Work with stakeholders to gather, document, and validate business and technical requirements
Support MMIS functional enhancements and integrations
Perform gap analysis, impact assessments, and workflow documentation
Collaborate with technical teams to translate requirements into functional specifications
Support testing activities including UAT, test case creation, and validation
Ensure compliance with Medicaid regulations, CMS guidelines, and state policies
Prepare reports, presentations, and process documentation as needed
Qualification
Required
7+ years as a Business Analyst in Medicaid or Healthcare domain
Strong knowledge of MMIS modules (Claims, Eligibility, Provider, Member, Finance, etc.)
Experience with Medicaid Claims Processing workflows
Strong analytical and problem-solving skills
Excellent communication and documentation abilities
Experience working with cross-functional teams and state-level Medicaid programs
Company
AppWorks
WE DELIVER PRODUCTS & SOLUTIONS WITH AI ENGAGEMENT
11-50 employees
H1B Sponsorship
AppWorks has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (2)
Funding
Current Stage
Early StageCompany data provided by crunchbase