Medicaid Eligibility Implementation Analyst (Remote)

Agcp; Olympia (WA); Remote; USD 110,000 - 145,000; Full time

Job summary

AG Consulting Partners is seeking an experienced Business Analyst Consultant to support Medicaid eligibility compliance and modernization for a public sector client. The consultant will analyze regulatory requirements, document processes, and assist with technology implementations on an 8-month engagement.

The role involves coordinating across compliance, legal, operations, and technical teams, with remote work flexibility and occasional travel to Olympia, WA for WA-based participants.

Qualifications

• Analyzing federal legislation, CMS guidance, and Medicaid eligibility policies to determine business and system impacts
• Documenting current-state and future-state business processes, workflows, and operational procedures
• Facilitating requirements gathering sessions with business stakeholders, subject matter experts, and technical teams
• Developing business requirements documents (BRDs), functional requirements, user stories, and acceptance criteria
• Creating process maps, workflow diagrams, decision trees, business rules, and impact assessments

Responsibilities

• Analyzing federal legislation, CMS guidance, and Medicaid eligibility policies to determine business and system impacts
• Documenting current-state and future-state business processes, workflows, and operational procedures
• Facilitating requirements gathering sessions with business stakeholders, subject matter experts, and technical teams
• Developing business requirements documents (BRDs), functional requirements, user stories, and acceptance criteria
• Creating process maps, workflow diagrams, decision trees, business rules, and impact assessments
• Identifying operational, reporting, policy, and technology impacts associated with regulatory changes
• Supporting implementation efforts related to eligibility determinations, renewals, verifications, and compliance reporting
• Participating in Agile ceremonies and collaborating with Product Owners and project leadership to prioritize requirements
• Developing business test scenarios and supporting User Acceptance Testing (UAT)
• Reviewing test results, validating system functionality, and assisting with defect triage and resolution
• Maintaining requirements traceability from policy interpretation through implementation and testing
• Identifying process improvement and automation opportunities that improve efficiency and reduce administrative burden

Skills

Business analysis

Requirements gathering

Stakeholder facilitation

Agile / Scrum

UAT / test planning

Education

Bachelor's degree in Business Administration or related field

Tools

Jira

Confluence

Job description

AG Consulting Partners is seeking an experienced Business Analyst Consultant to support Medicaid eligibility compliance and modernization for a public sector client. The consultant will analyze regulatory requirements, document processes, and assist with technology implementations on an 8-month engagement.

The role involves coordinating across compliance, legal, operations, and technical teams, with remote work flexibility and occasional travel to Olympia, WA for WA-based participants.