Eligibility Projects Analyst

Dept of Med Assistance Svcs; Richmond (VA); On-site; USD 86,000 - 88,000; Full time

Job summary

The Department of Medical Assistance Services (DMAS) in Richmond, VA seeks an Eligibility Projects Analyst to lead eligibility/enrollment projects within MES and VaCMS. You will shape business requirements, run UAT, and coordinate with VDSS, vendors, and partners to ensure compliance with federal/state rules.

The role emphasizes data analysis, process improvement, and collaboration across teams, with the Richmond area offering diverse access and benefits.

Qualifications

• Knowledge of determining Medicaid eligibility for ABD, CHIP, FAMIS.
• Experience with VaCMS and MES systems.
• Experience in Medicaid policy research, systems analysis, and evaluating requirements.
• Proficiency with Microsoft Office (Excel, Word, PowerPoint, Outlook).
• Ability to manage multiple priorities in a fast-paced environment.
• Experience collaborating with state agencies, vendors, and partners to resolve issues.
• Experience creating and executing UAT scenarios and defect documentation.

Responsibilities

• Serve as SME on eligibility/enrollment projects (BA, data research, systems analysis).
• Ensure MES/VaCMS support Medicaid/FAMIS policies and requirements.
• Lead system enhancements: gather BRDs, manage change requests, coordinate stakeholders.
• Develop business scenarios, test cases, and UAT scripts.
• Attend internal and external meetings and occasional conferences.

Skills

VaCMS experience

MES experience

Business analysis

UAT testing

Stakeholder collaboration

Microsoft Office

Tools

VaCMS

MES

Job description

Title: Eligibility Projects Analyst

State Role Title: Info Technology Specialist II

Hiring Range: $86,239 - $88,479

Pay Band: 5

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Eligibility Projects Analyst in the Eligibility and Enrollment Division.

Job responsibilities will include, but are not limited to:

The position serves as a subject matter expert on projects for assigned eligibility and enrollment initiatives involving business analysis, data research, systems analysis, enrollment reviews, reporting, and business process improvements.

The incumbent ensures that member eligibility and enrollment functions within the Medicaid Enterprise System (MES), Virginia Case Management System (VaCMS), and any successor systems accurately support Medicaid and FAMIS eligibility policies, federal and state requirements, and program operations.

Responsibilities include leading system enhancement efforts by developing business requirements, initiating and managing system change requests, collaborating with internal and external stakeholders—including the Virginia Department of Social Services (VDSS), contractors, and business partners—to design, implement, and validate system changes.

The position develops business scenarios, test cases, and user acceptance testing (UAT) scripts to ensure system functionality meets business and policy requirements.

The business needs for this position have in office requirements to include but are not limited to attending internal meetings, external stakeholder meetings, and occasional conference attendance.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/

The Department of Medical Assistance Services (DMAS) is working to improve the health and well‑being of Virginians through access to high‑quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications

• Considerable knowledge of determining eligibility enrollments for the public assistance program Medicaid to include (Aged, Blind, and Disabled (ABD), Children's Health Insurance Program (CHIP), Family Access to Medical Insurance Security (FAMIS).
• Considerable knowledge of and experience working with the Virginia Case Management System (VaCMS).
• Considerable knowledge of and experience working with the Medicaid Enterprise System (MES) or any successor Medicaid eligibility and enrollment system.
• Considerable experience conducting Medicaid policy research, systems analysis, and evaluating business requirements.
• Considerable proficiency using Microsoft Office applications, including Excel, Word, PowerPoint, and Outlook.
• Considerable knowledge of and experience interpreting and applying federal and state Medicaid laws, regulations, policies, and procedures.
• Considerable experience working in a fast‑paced environment with competing priorities, demonstrating the ability to effectively manage multiple assignments and meet established deadlines.
• Experience collaborating with internal and external stakeholders, including state agencies, vendors, and business partners, to resolve issues and implement business solutions.
• Considerable experience providing technical and programmatic guidance to internal and external stakeholders regarding Medicaid and FAMIS eligibility and enrollment.
• Experience creating and executing User Acceptance Testing (UAT) scenarios, test scripts, and defect documentation.

Additional Considerations

• Experience serving as a business analyst or project lead for Medicaid eligibility and enrollment system initiatives.
• Knowledge of the Centers for Medicare & Medicaid Services (CMS) regulations, federal mandates, and Medicaid Enterprise System (MES) modernization initiatives.
• Experience interpreting federal and state Medicaid policy and translating policy into business and system requirements.

Contact Information

Name: DMAS Talent Acquisition

Phone: 804 - 225 - 4407

Email: [e-mail]

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce.

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter, use this link: https://www.dars.virginia.gov/drs/cpid/PWContact.aspx or call DARS at 800-552-5019, or DBVI at 800-622-2155

From July 1, 2026, through January 21, 2029, applicants who were involuntarily separated from employment with the Federal Government on or after January 1, 2025, due to a reduction in force, budget reduction, or workforce restructuring initiative may be eligible for HB494 Federal Employee Priority Consideration. Applicants seeking HB494 Federal Employee Priority Consideration must identify themselves within the state application process and provide supporting documentation, including a Standard Form 50 (SF-50), verifying their eligibility.

The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member, DMAS encourages you to apply and respond accordingly on your state application.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.