Job Title: Healthcare Systems Business Analyst – Medicaid
Location: MA
Position Overview
We are seeking an experienced Healthcare Systems Business Analyst to support Medicaid Management Information Systems (MMIS) initiatives. The ideal candidate will have strong business analysis, SQL, requirements documentation, and software testing skills, with experience supporting healthcare systems and collaborating with technical teams, business stakeholders, and external vendors.
Key Responsibilities
- Facilitate and contribute to stakeholder workshops and Joint Application Design (JAD) sessions to define business needs and system requirements.
- Collect, analyze, document, and validate functional and technical requirements.
- Create test plans, test scenarios, and test cases aligned with business and system requirements.
- Execute test cases, analyze results, document defects, and coordinate testing approvals and sign-offs.
- Participate throughout the software development lifecycle, including requirements analysis, testing, implementation, and post-release support.
- Prepare and maintain user guides, training materials, process documentation, and system reference materials.
- Monitor system releases and support post-implementation stabilization by identifying issues and coordinating resolution efforts.
- Partner with vendors, developers, QA teams, project managers, and business users to ensure requirements are accurately implemented and validated.
- Communicate project progress, system updates, and changes to relevant stakeholders.
- Represent the MMIS team in project discussions, business meetings, and cross-functional working sessions.
- Respond to questions and provide functional support to program staff, vendors, and other stakeholders.
- Use SQL queries to investigate data issues, validate information, analyze results, and recommend corrective actions.
- Provide backup support for other business analysis activities as project needs arise.
Required Qualifications
- Demonstrated experience in business analysis and supporting system development projects through multiple SDLC phases.
- Strong SQL skills for querying databases, validating data, and performing analysis.
- Experience gathering requirements, preparing documentation, and communicating with diverse stakeholders.
- Hands‑on experience developing test cases, executing tests, and supporting User Acceptance Testing (UAT).
- Excellent analytical, troubleshooting, organizational, and documentation skills.
- Strong written and verbal communication skills.
- Ability to collaborate effectively with project managers, developers, Business Analysts, Systems Analysts, QA/SQA teams, business users, data processing teams, vendors, and external agencies.
- Ability to work independently while contributing effectively to a cross‑functional team.
Preferred Qualifications
- Previous experience with Medicaid Management Information Systems (MMIS) or Medicaid‑related healthcare applications.
- Understanding of healthcare claims, payment processing, and HIPAA‑related transactions.
- Familiarity with Agile methodologies and the software development lifecycle.
- Experience facilitating JAD sessions and coordinating with third‑party vendors.
- Background in system implementation, release management, production stabilization, and defect resolution.
- Experience creating end‑user training materials, operating procedures, and system documentation.
Education and Experience
Candidates should meet one of the following criteria:
- A bachelor's degree or higher in Business, Information Technology, Healthcare Administration, or a related discipline, along with at least 3 years of relevant experience; or
- Equivalent professional experience in a healthcare administration environment.