Merative · 2 weeks ago
Business Consultant - Medicaid
United States
Full-time
Remote
Senior Level
$101K/yr - $151K/yr
7+ years expMerative is a company dedicated to improving health outcomes through data, analytics, and software for the health industry. They are seeking a Business Consultant - Medicaid to work closely with healthcare stakeholders, analyze business requirements, and help implement solutions using the Cúram product to enhance care management and collaboration.
AnalyticsHealth CareInformation TechnologyIT Infrastructure
Responsibilities
Research, analysis, and define customer requirements to build a Healthcare Care Management platform supporting collaboration of care and data – Care plans, medications, healthcare providers, and more
Analyze the business requirements of our customers and system functionality to scope
Write the functional documentation and user stories required by technical consultants who develop our software
Learn and become well versed in the Cúram product and case management business process to perform fit/ gap analysis and advise on the best approach to implement solutions using the product
Act as the point of contact for business-related questions and issues that arise and require clarification, working closely with stakeholders and technical staff
Collaborate with teams discussing design options and the various merits of different approaches
Work with teams developing demos and client presentations
Lead agile sessions when required
Analyze requests from clients and requirements complete detailed work estimates
Prioritize and document solution requirements including Use case and/or process flows, User Stories, Data definitions and/or logical data models, Screen design and story boarding, QA and test case development
Qualification
Required
7+ years of experience in a Business Analyst or related role, with a focus on delivering technology-driven projects related to healthcare systems
Medicaid Managed Care organization (MCO) or Medi-CAL (such as Kaiser, Blue Cross, Molina, etc) experience
Systems experience in EHR (Electronic Health records) -OR- FHIR (Fast Healthcare Interoperability Resource)
Understanding of integrations and data exchange in healthcare systems
Proven expertise in business process analysis, including user stories, process flows, and gap analysis
Strong ability to optimize business processes for increased efficiency and effectiveness
Expertise in identifying and evaluating delivery methods and advising teams on best practices based on measurable outcomes
Experience supporting teams by helping visualize outcomes, prioritize tasks, and deliver solutions aligned with project scope
Solid team building, problem resolution and decision-making skills
Preferred
Curam software knowledge, and case management business process flow
A comprehensive understanding of how to implement and customize Commercial-off-the-shelf (COTS) functionality to meet requirements
Benefits
Remote first / work from home culture
Flexible vacation to help you rest, recharge, and connect with loved ones
Paid leave benefits
Health, dental, and vision insurance
401k retirement savings plan
Infertility benefits
Tuition reimbursement, life insurance, EAP – and more!
Company
Merative
Merative is an IT services company that offers products to improve decision-making and performance. It is a sub-organization of IBM.
1001-5000 employees
H1B Sponsorship
Merative 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 (10)
2024 (5)
2023 (10)
2022 (2)
Funding
Current Stage
Late StageTotal Funding
unknown2022-01-25Acquired
2018-03-29Series A
Leadership Team
Gerry McCarthy
Chief Executive Officer and Board Director
Troy Bailey
Chief Technology Officer
Recent News
citybiz
2025-10-03
2025-09-23
2025-09-15
Company data provided by crunchbase