Business Analyst (Integrated Eligibility)

Stealth Talent Solutions; Des Moines (IA); On-site; USD 90,000 - 120,000; Full time

Job summary

Stealth Talent Solutions seeks a Business Systems Analyst SME for Eligibility Policy and Benefit Calculation. This contract, multi-year engagement is onsite in Des Moines, Iowa, with relocation support.

You will own policy workflows, determining how benefits are calculated, validated against rules, and aligned with state and federal requirements. The role focuses on translating policy into testable rules, supporting SIT/UAT, and collaborating with state stakeholders to ensure accurate

Qualifications

• 3 years of experience in integrated eligibility (IE) or IES modernization systems, with hands-on work in EDBC or equivalent eligibility determination and benefit calculation.
• Demonstrable knowledge of public assistance eligibility policy and benefit calculation for Medicaid and/or SNAP: household composition, income determination, program hierarchy, and the sequence in which eligibility rules and policy execute.
• Strong working knowledge of eligibility rules engines (OPA, Corticon, Blaze, or similar) from a business and functional standpoint: able to read, validate, and functionally own the rules and their outcomes, rather than a purely development background.
• Background in large-scale HHS eligibility implementations or IES modernization programs (state Medicaid, SNAP, TANF, or similar).
• Demonstrated ability to translate federal and state eligibility policy into system rules and calculations.
• Experience with eligibility SIT/UAT, including test scenario design, traceability, and defect analysis.
• Familiarity with Oracle Policy Automation (OPA) experience specifically.
• Willingness to relocate to Des Moines and work onsite with the team long term.

Responsibilities

• Own the eligibility determination and benefit calculation logic for programs such as Medicaid and SNAP: how household composition, income, and program rules combine to produce an accurate determination.
• Map, validate, and document the sequence in which eligibility policy and rules execute, including order of operations, program hierarchy, and cross-program dependencies.
• Translate policy into clear, testable rules and calculations, and validate how those rules are expressed in the rules engine as the business owner, not the developer.
• Analyze eligibility discrepancies and trace benefit mismatches back through policy logic to root cause, then drive resolution.
• Drive fit/gap analysis, requirements refinement, and functional decision-making for eligibility logic.
• Partner with state stakeholders to confirm policy interpretation and validate system behavior against regulatory requirements.
• Design and maintain eligibility test scenarios covering standard determinations, edge cases, and program interactions.
• Support SIT/UAT for eligibility, ensuring end-to-end scenario coverage and defect triage for eligibility-related issues.
• Serve as the go-to SME and escalation point for eligibility logic questions across the team.

Skills

Eligibility policy

Rules engine

OPA

SIT/UAT

Tools

OPA

Corticon

Blaze

Job description

Business Systems Analyst - Eligibility Policy & Benefit Calculation (EDBC) SME

Engagement: Contract, long-term (multi-year state program

)Start: ASAP (actively interviewing

)Location: Onsite in Des Moines, Iowa strongly preferred. Open to candidates willing to relocate to Des Moines; relocation supported and several team members have already relocated

.Travel: Local or relocated candidates work onsite with the team at the client’s Des Moines office

.Interview Process: Interview with the Eligibility Manager and a Senior Manager / functional lead; follow-up conversation as needed

.
About the Clie

ntA leading professional services firm delivering large-scale Health and Human Services (HHS) technology modernization programs for state government agencies. This engagement is a multi-year integrated eligibility system implementation supporting Medicaid, SNAP, and other public assistance programs. It is a high-visibility program with direct state stakeholder interaction and real impact on how benefits reach citizen

s.
About the Initiat

iveThis is a long-horizon, multi-track integrated eligibility (IE) modernization program with a decade-long delivery runway. The program is organized into functional threads, including eligibility, conversion, notices and correspondences, customer and worker portals, interfaces, and batch processing. The team is currently in the design phase and moving toward pilot and statewide rollout, and is building out a dedicated local team at the client’s Des Moines office. The environment is intentionally fluid: people rotate across threads as the program advances, which creates strong long-term growth and mobility opportunities for contractors who deliv

er.
Role Sum

maryThis Business Systems Analyst is the eligibility policy and benefit calculation SME for a state HHS solution. This person owns how eligibility actually works: the workflows, the policy, and the calculations that determine benefits for programs such as Medicaid and SNAP, including household composition, income determination, and, critically, the sequence in which eligibility policy and rules execute to reach a determination. This is a business analyst role, not a developer role. The right person is deeply fluent in eligibility policy and how it must behave in the rules engine (for example, OPA), and can read, validate, and functionally own the rules and their outcomes without needing to be the person who codes t

hem.
Key Responsibil

itiesEligibility Policy and Benefit Calcul

• ationOwn the eligibility determination and benefit calculation logic for programs such as Medicaid and SNAP: how household composition, income, and program rules combine to produce an accurate determina
• tion.Map, validate, and document the sequence in which eligibility policy and rules execute, including order of operations, program hierarchy, and cross-program dependencies, so determinations run correctly end to
• end.Translate federal and state eligibility policy into clear, testable rules and calculations, and validate how those rules are expressed in the rules engine (for example, OPA) as the business and functional owner, not the devel
• oper.Analyze eligibility discrepancies and trace benefit mismatches back through the policy logic, calculation sequence, and configuration to root cause, then drive resolu

tion.Requirements and Functional D

• esignDrive fit/gap analysis, requirements refinement, and functional decision-making for eligibility l
• ogic.Partner directly with state stakeholders to confirm policy interpretation and validate system behavior against regulatory intent and compliance requirem

ents.Testing and Qu

• alityDesign and maintain eligibility test scenarios covering standard determinations, edge cases, household composition variations, income thresholds, and program interact
• ions.Support SIT/UAT for eligibility, ensuring end-to-end scenario coverage, traceability to policy, and defect triage for eligibility-related is

s.Collaboration and SME Su

• pportServe as the go-to SME and escalation point for eligibility logic questions across the
• team.Collaborate with functional leads, configuration and rules developers, and technical architects so the design supports complex, multi-program eligibility l

ogic.
Required Qualific

• ations3 years of experience in integrated eligibility (IE) or IES modernization systems, with hands-on work in EDBC or equivalent eligibility determination and benefit calcul
• ation.Demonstrable knowledge of public assistance eligibility policy and benefit calculation for Medicaid and/or SNAP: household composition, income determination, program hierarchy, and the sequence in which eligibility rules and policy ex
• ecute.Strong working knowledge of eligibility rules engines (OPA, Corticon, Blaze, or similar) from a business and functional standpoint: able to read, validate, and functionally own the rules and their outcomes, rather than a purely development backg
• round.Background in large-scale HHS eligibility implementations or IES modernization programs (state Medicaid, SNAP, TANF, or sim
• ilar).Demonstrated ability to translate federal and state eligibility policy into system rules and calcula
• tions.Experience with eligibility SIT/UAT, including test scenario design, traceability, and defect ana
• lysis.Strong analytical and systems-thinking skills: able to trace a benefit mismatch back through rules logic, calculation sequence, data, and configuration to find the root
• to HaveOracle Policy Automation (OPA) experience specif
• ically.Familiarity with CMS regulations, MAGI Medicaid rules, or ACA eligibility
• logic.Prior work on a large, multi-track state IE program spanning design through pilot and statewide r
• ollout.Willingness to relocate to Des Moines and work onsite with the team lon

g term.
Ideal Candidate

• ProfileBusiness analyst at the core. Knows how eligibility works in practice and how it must behave in the system, without needing to be the developer who c
• odes it.Policy-to-calculation fluent. Thinks naturally in terms of how policy, household composition, and income sequence into a benefit determination, and can spot where the logic wil
• l break.Ownership mentality. When eligibility outcomes are wrong, this person does not wait for someone else to investigate. They dig in, trace the logic, and drive
• the fix.Precise communicator. Can explain a complex eligibility rule to a state policy analyst and a rules engine developer in the same meeting, in language each unde
• rstands.Detail-oriented without losing the big picture. Catches edge cases in test scenarios while keeping the overall eligibility framework o
• n track.Comfortable onsite and in a fluid team. Ready to be based in Des Moines and build relationships across threads that shift as the program moves from design to pilot to st
• atewide.Not a policy-only person. An ex-caseworker or agency executive who has never touched a rules engine or system configuration is not the right profile. This person has been hands-on with how eligibility logic lives in a