Senior Technical Business Analysis Engineer

This is a fully remote position, open to applicants in New Mexico.

📋 Description

• Collaborate with business stakeholders to gather, analyze, and document both business and system requirements.

• Examine suspended claims, operational challenges, and system defects to determine root causes and propose solutions.

• Work alongside development and QA teams to design, test, and validate system enhancements and operational improvements.

• Review updates to Medicaid policies, CMS mandates, and client directives to evaluate their impact on business processes and system functionality.

• Research billing manuals, design documentation, and regulatory guidance to assist in issue resolution and decision-making.

• Document and enhance business processes to boost operational efficiency and effectiveness.

• Act as a connection between business and technical teams throughout the project lifecycle.

• Create test strategies, test scenarios, and test plans to validate state policy requirements and payment methodologies.

• Assist in User Acceptance Testing (UAT) activities and facilitate the implementation of system changes.

• Analyze data and trends to deliver actionable insights and support operational reporting needs.

⛳️ Requirements

• Experience in interpreting and applying Medicaid policies, CMS regulations, and state healthcare program requirements.

• Strong understanding of Medicaid claims processing and payment systems.

• Ability to comprehend and apply Medicaid payment methodologies in business analysis and testing activities.

• Excellent analytical, troubleshooting, and problem-solving capabilities.

• Proficiency in independently researching and evaluating documentation, policies, billing manuals, and technical specifications.

• Outstanding communication and collaboration skills with both business and technical stakeholders.

• Professional demeanor with the ability to manage multiple priorities in a dynamic environment.

• Over 8 years of experience in the healthcare industry, ideally within the MMIS (Medicaid Management Information System) domain.

• Demonstrated experience in supporting large-scale Medicaid systems and operational processes.

• Familiarity with SQL and relational database concepts.

• Strong skills in presentation, facilitation, and organization.

• Proficiency in Microsoft Office applications, including Outlook, Word, and Excel.

• Excellent written and verbal communication skills with a focus on customer service.

• Capability to work independently while driving initiatives from analysis through implementation.

🏝️ Benefits

• Comprehensive health and welfare benefits tailored for employees and their families, starting on the first day of employment.

• Retirement savings plan.

• Opportunities for career growth.

• Paid time off packages.

• Health insurance coverage.

• Optional dental and vision programs.

• Life and disability insurance.

• Paid holidays.

• PTO, vacation, and/or sick time.

• Remote work from home options.

• An award-winning work environment that values diversity.