Lead Medicaid Business Analyst - AI-Driven & Remote

SAVVY Technology Solutions LLC; United States; Remote; USD 110,000 - 150,000; Full time

Job summary

SAVVY Technology Solutions LLC is seeking a Senior Business Analyst (Lead BA) for a remote US-based role in healthcare/MMIS. The candidate will drive discovery of business processes, translate policy to system logic, and use AI tools to decompose complex legacy systems into actionable requirements.

The role requires deep Medicaid payor domain knowledge, strong modeling and requirements engineering skills, and collaboration with diverse teams across the enterprise.

Qualifications

• Bachelor’s degree in healthcare administration, Computer Science, Information Systems, Business Administration, or a related field from an accredited university.
• Minimum of 7 years of dedicated experience as a Business Analyst within a State Medicaid Agency or other commercial insurance payor.
• Demonstrated experience using AI including prompt engineering, AI-assisted requirements discovery, and responsible use of AI.
• Advanced experience drafting structured As-Is and To-Be diagrams using BPMN.
• Mastery of requirements engineering processes, including change control management, structured use case generation, and traceability.
• Deep understanding of healthcare regulatory compliance structures, including HIPAA data privacy, federal reporting standards, and CMS guidelines.

Responsibilities

• Lead project team to drive comprehensive business process and requirements discovery using business SME expertise and AI toolsets.
• Use AI to perform system logic discovery, parse and analyze undocumented code, legacy schemas, and large operational structures to isolate core rules and architectures.
• Document end-to-end operational systems and workflows; create design documents, requirements, and diagrams using BPMN or UML standards.
• Analyze federal, state, and local policies and map policy definitions to downstream system logic and software components; record any gaps against requirements.
• Lead intensive collaborative discovery sessions with technical and business SMEs to establish consensus and bridge knowledge gaps.
• Establish, manage, and defend rigorous requirements engineering frameworks ensuring end-to-end traceability from policy to code.

Skills

AI in analysis

Stakeholder facilitation

Traceability

Regulatory knowledge

BPMN modeling

Education

Bachelor's degree

Job description

SAVVY Technology Solutions LLC is seeking a Senior Business Analyst (Lead BA) for a remote US-based role in healthcare/MMIS. The candidate will drive discovery of business processes, translate policy to system logic, and use AI tools to decompose complex legacy systems into actionable requirements.

The role requires deep Medicaid payor domain knowledge, strong modeling and requirements engineering skills, and collaboration with diverse teams across the enterprise.